How to Get Perky Breasts

Solving Breast Issues to Get Perky Breasts – Your Surgical Options for Upper Pole Fullness

Breast size, shape and position on the chest wall depend on factors that can be outside of your control, such as genetics, body composition, age, and breastfeeding. Changes in breast size or shape, or breasts that are too small, large or saggy can cause expensive bra fittings, pain and discomfort, and poor body image. If you want to get perky breasts, plastic surgery could be the solution to look good and feel better.

Perky breasts are usually related to having more volume in the upper section or upper pole than the lower section or lower pole of the breast. This is called Upper Pole Fullness and many patients seek this more glamorous look.

Plastic surgeries like Breast augmentation, breast asymmetry correction, breast lift surgery and breast reduction are all options that are available to improve the appearance and feel of your breasts.

As one of the leading breast Plastic Surgeons in New Zealand and UK, Dr Mark Gittos has performed over 4000 breast surgeries in his three decades of surgical experience. Dr Gittos is committed to helping each of his patients achieve long-lasting results based on their lifestyle, aesthetic goals, and medical history.

Download Dr Mark Gittos’ Guide to Cosmetic Breast Surgery

Guide Ultimate Breast Surgery

How Can Breast Size and Shape Change After Pregnancy and Breastfeeding?

Over time, breasts tend to lose volume and become less firm gradually. However, some circumstances can cause these changes to happen much more quickly, which can cause low self-esteem and poor self-image, as well as physical discomfort. Usually, these changes are most noticeable after a large amount of weight loss or after pregnancy and breastfeeding.

Common postpartum breast changes include:

  • Increased sagging, due to loosened connective tissue
  • Loss of breast volume
  • An increase or decrease in breast size
  • Excess, or “loose” breast skin
  • No longer fitting into pre-pregnancy bras

How Can Breast Size and Shape Change After Weight Loss?

While weight loss is a wonderful decision to make for your health, many women are unhappy with how their breasts look after a significant weight loss. As breasts are mostly composed of fat, losing fat from the rest of the body will cause fat to be lost from the breasts as well!

Weight loss can cause breast changes such as:

  • Loss of breast volume
  • Excess or wrinkled skin
  • Downturned nipples and areolas

Plastic surgery makes it possible to improve these cosmetic concerns while maintaining your weight loss. In fact, losing weight to get a healthy BMI is recommended before having any plastic surgery. Being at your ideal weight before having breast plastic surgery also increases the longevity of your results.

What Issues Can Be Caused By Having Larger Breasts?

Overly large breasts can cause many emotional issues, such as low self-esteem and poor self-image. It can be difficult – and expensive – to find clothing and bras that will support large breasts comfortably.

Having a larger breast size can also cause physical issues, including:

  • Lower back pain
  • Neck and shoulder pain
  • Nerve compression
  • Chronic skin irritation or infection
  • Poor posture

What Plastic Surgery Solutions Are Available For Larger Breasts?

A breast reduction is a plastic surgery procedure designed to decrease the size of breasts that are overly large, asymmetrical, or causing pain. During breast reduction surgery, Dr Gittos will remove excess skin, breast fat, and other tissue from your chest, resulting in a breast size that will be proportionate and comfortable for you.

Breast reduction surgery might be right for you if:

  • You feel that your breasts are too large
  • The size of your breasts prevents you from doing things
  • The size of your breasts causes you regular pain or discomfort
  • Your breasts are causing skin irritation or infection in the breast crease
  • Your bra straps leave painful indentations or marks on your shoulders

I Have Large Breasts – Can I Have Breast Lift Surgery?

Many of Dr Gittos’ patients ask whether they will need a breast lift or breast reduction to correct large, heavy breasts. While many patients with large breasts believe they need a breast lift, breast lifts are usually best for patients who are happy with breast size but unhappy with breast shape.

Breast lift surgery will not reduce the size of the breasts significantly, and this means that issues such as back or neck pain may not be resolved by breast lift surgery alone. The results of a breast lift can also be shorter-lasting for patients who have larger breasts.

However, breast lift surgery is perfect if you are mainly bothered by issues such as:

  • Downward-pointing nipples
  • Deflated appearance of the breast
  • Excess or wrinkled skin around the breasts

A breast reduction can be combined with a breast lift to decrease the volume of the breasts and improve the shape, position, and appearance of the skin at the same time.

You might be a good candidate for breast lift surgery if you:

  • You are happy with the size of your breasts, but not the shape or appearance
  • You have pendulous breasts
  • Your breasts appear flattened due to ageing, weight loss, or pregnancy
  • The skin of your breasts and areolas is stretched
  • Your breasts have lost firmness over time
  • One of your breasts is lower or droopier than the other
  • Your breasts have finished developing
  • You are not breastfeeding, pregnant, or planning on getting pregnant

My Breasts Are Too Small – What Are My Options?

If you are unhappy with the size of your breasts, you’re not alone! Having smaller breasts can cause self-esteem issues, poor body image, and can make it hard to fit into the clothes that you want to wear. If any of these issues sound familiar, breast augmentation might be the plastic surgery solution for you.

During breast augmentation, a breast implant made of saline or silicone is placed within the breast. The implant is placed either underneath or over the chest muscles, depending on your aesthetic goal.

You might choose to have breast augmentation because:

  • You feel that your breasts are disproportionately small
  • Your breasts have decreased in size after pregnancy
  • One of your breasts is larger or smaller than the other
  • You have lost breast volume after weight loss
  • You have had a breast removed due to medical reasons

Depending on the size, shape, and location of your breast implant, Dr Gittos can help you to increase the cup size of your breasts depending on your goals. The exact implant needed to increase your breast size depends on the size and shape of your breasts before surgery, which Dr Gittos will discuss with you during your consultation.

What Is The Difference Between Breast Augmentation and Fat Grafting?

Fat grafting is a type of breast augmentation that uses a more natural approach than breast implants. It can be used to improve the shape of the breasts or correct minor breast asymmetry, or even after implant removal to create a naturally fuller breast shape.

During fat grafting, Dr Gittos removes unwanted fat from another area of the body, such as the stomach or flanks, using liposuction. The fat is then carefully injected into the breasts, creating a rounder, fuller shape by increasing volume and improving contour.

Fat grafting may be a good choice for your breast augmentation if:

  • You want a more natural method of breast augmentation
  • You do not want your breasts to become more than one cup size larger
  • You want to target breast volume instead of breast size
  • You want natural-looking results with minimal scarring

Breast augmentation using implants might be a better choice for you if:

  • You want a significant increase in breast size, e.g. more than one cup size
  • You do not have any unwanted fat in other areas of your body
  • You have a significant breast asymmetry that you would like to have corrected

Sometimes, fat grafting can be combined with breast implants, which is called “hybrid breast augmentation.” Hybrid breast augmentation can use fat grafting to improve the results of breast implants by creating a smoother contour. This type of augmentation is especially useful if you have very little breast tissue to cover the implant.

Fat Grafting alone may NOT help you get perky breasts or upper pole fullness.

My Breasts Are Different Sizes or Shapes – Can Plastic Surgery Help?

We are not perfectly symmetrical – and that includes breasts! Most women have small differences in the size and shape of their breasts, which is perfectly normal. The difference is often so small that many women are not aware of their breasts being slightly different sizes or shapes. However, for around 25% of women, the asymmetry can be more extreme – even causing each breast to be a different shape or cup size.

If breast asymmetry is causing issues such as insecurity, pain, or difficulty finding a well-fitting bra due to differing cup sizes, breast asymmetry correction can help to make your breasts appear more symmetrical.

Breast asymmetry correction is the plastic surgery procedure that helps to correct the noticeable differences between your breasts. These differences might be breast size, shape or position on the chest wall – or all three!

You may be a good candidate for breast asymmetry correction surgery if:

  • Your breasts have finished developing
  • There is a significant size difference between your breasts
  • One of your breasts sits noticeably lower on your chest
  • The shape of your breasts is noticeably different
  • You can feel a difference in firmness between your breasts
  • Your nipples face different directions, or are in different locations on your breasts

What Procedures Are Involved In Breast Asymmetry Correction?

The exact procedure that is needed to address your concerns depends on the current cosmetic issues with your breast, your breast size, and what outcome you would like to achieve from surgery. Dr Gittos will discuss these factors with you, so that he can suggest a surgery plan that will help you get perky breasts.

Breast asymmetry correction can involve:

  • A breast lift to correct one downturned breast
  • Breast reduction of a larger breast
  • Augmentation of a smaller breast
  • Breast augmentation using different-sized implants for each breast
  • Repositioning of the nipple and areola on the breast

If you have severely asymmetric breasts, you might need to have several plastic surgery procedures to correct the asymmetry fully. However, if you are only looking for a small change in the symmetry of your breasts, one procedure may be enough to boost your confidence, improve bra fit, and create a more even appearance.

Can I Have Breast Plastic Surgery Without Changing My Bra Size?

Size is not always the goal for breast surgery! If you are happy with the size of your breasts but have other cosmetic concerns such as drooping, loose skin, or loss of volume, don’t worry! You can choose to have breast lift surgery, or sometimes breast augmentation, without a significant change in cup size.

If you would like breast augmentation with a minimal increase in breast size, fat grafting is an alternative to using breast implants. During fat grafting, Dr Gittos will remove unwanted fat from other areas of the body, and inject it into the breasts to create a small increase in volume and improved breast shape. The change in bra size will be relatively small, only increasing to a maximum of one cup size.

The size of your breasts after a breast augmentation procedure will depend on the following:

If you have any concerns or questions about the size of your breasts after breast lift surgery or breast augmentation, please discuss this with Dr Gittos.

For patients who don’t wish to change breast size or volume, breast lift surgery can be a wonderful surgical solution to create an improved breast shape and contour.

Breast lift surgery does not use implants. Instead, Dr Gittos will create a firmer, perkier, and more even appearance of the breasts using techniques such as:

  • Removal of excess skin
  • Reshaping of breast tissue
  • Repositioning of the nipple and areola

Medical References about Breast Procedures and How to Get Perky Breasts

About Dr Mark Gittos FRACS (Plast) – New Zealand Plastic Surgeon 

Practice locations in Herne Bay Auckland, Northland and Bay of Plenty – Kerikeri, Whangarei, New Plymouth & Tauranga

Dr Mark Gittos is a leading Specialist Plastic Surgeon and operates a practice in Herne Bay, Auckland and in the UK. The practice focuses on both surgical and non-surgical procedures, each designed to help restore, improve or change a physical characteristic or problem. The first step in every case is to talk through your personal requirements and explore all the options, before deciding on the most effective solution.

Dr Mark Gittos offers high-quality, natural-looking cosmetic surgery results and is highly experienced in BreastBody and Face Surgery having performed over 4000 Surgeries in the last 26 years.  With worldwide expertise Dr Gittos is an expert in breast, face and body surgery for men & women.

Naturally, before any treatment is begun, we will explain clearly the advantages and risk factors; so that you have the information you need to make an informed decision that is best for you. Visit the practice to find out more.


Please NOTE: Dr Gittos only performs surgery on non-smoker patients with a BMI less than 30. To check your BMI please visit the NZ Heart Foundation website. For help giving up smoking before surgery visit the Smoke Free website

Do your Research

What to Bring to your Plastic Surgeon Consultation

  • Bring a friend or relative to help discuss the information and your choices
  • Take lots of notes and read the documents provided thoroughly
  • Dress in simple clothes as you may need to undress for examination
  • Bring your medical referral and any relevant medical documents or test results

Book your Initial Surgery Consultation

  • A Referral from your GP or specialist is helpful but NOT essential – you can have a consultation without a GP Referral
  • Email us or Call on 09 529 5352 to arrange your surgeon consultation appointment.
  • Book a consultation with Dr Gittos by paying the Consultation Fee – $325 incl GST

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Please contact us to arrange to book a consultation with our Specialist Plastic Surgeon or to speak with our Patient Care Advisor.

Send an enquiry form today or phone  09 529 5352  during Clinic Hours