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Gravity-Defying Breasts: Don’t Try This At Home

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; the patient usually does not want to be smaller (smaller breasts droop less).

So here’s how you create a gravity-defying large breast… 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 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.

November 21, 2011 5:48 pm
Categories: Blog, Breast, Breast Lift

Written by Dr. Adam Tattelbaum

Dr. Adam Tattelbaum is a highly skilled and compassionate plastic surgeon with over two decades of experience.

Double-certified by the American Board of Plastic Surgery and the American Board of Surgery, Dr. Tattelbaum believes in providing personalized patient care and customizes his treatment plans to suit the individual.

Dr. Tattelbaum's candid and realistic approach has earned him recognition, not only with his patients but in the Top Doctor lists of the Washingtonian and Bethesda magazines. He is also a member of the American Society for Aesthetic Plastic Surgery, a mark of distinction in the field of cosmetic surgery.

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