This is a follow up to a blog I posed a few weeks ago about the pencil test. I am going to describe a sequence of operations that I really do not advocate but I hope makes sense when I describe it.

Every month or two, I will see a woman with a double D or more breasts who wants me to do a breast lift and give them gravity defying breasts. Now I can do a breast lift on just about any size breast. The problem is that if I lift a large and heavy breast that breast will go south again quite quickly. Heavy natural breast tissue will always respond to gravity and usually the patient does not want to be smaller (smaller breasts droop less).

So here’s how you create a gravity defying large breast… and please recall I generally do not recommend this to patients, but I hope the concept makes sense. First do an aggressive breast reduction and remove most of the natural breast tissue, the tissue that responds to gravity. Come back a few months later and then put in a large implant. The implant restores the volume and upper fullness and tends to defy gravity more than natural breast tissue.

When I do a breast lift with an implant I will often remove a moderate amount of tissue if the patient agrees for the reasons listed above. If an aggressive reduction is needed at the time of lift and augmentation, it is often safer to stage the two in order to preserve blood supply to the breast.

To make a breast smaller only to make it bigger kind of seems like the death of common sense to me but for some it may be the only option to achieve their goals. This is a very technical and difficult concept to get across for me.

If you want to know what’s right for you, or to set up a consultation then contact me and let’s chat.