Palm Springs Breast Lift doctors

The changes you describe are common after pregnancy (asymmetry, deflation, drooping). Based on your photos, I think silicone implants placed below the muscle, with an anchor type incision would give you the best result. I realize that may not be what you want to hear since the anchor scar is more extensive than a peri-areolar or lollipop scar, but it will give you the best shape and contour. Lesser scars will give you a lesser lift, and lesser result. When patients and surgeons try to get away with just a periareolar scar in a case like yours, it routinely leads to dissatisfaction since now you are left with larger breasts that are just as droopy. Silicone implants tend to look more natural than saline, and a submuscular position often looks more natural, leads to less capsular contracture, and allows for easier visualization of the breast tissue on mammogram.

Really think about the scars and decide if you are willing to accept them in return for an improved shape. Some surgeons prefer to do the surgery in two stages, with a lift first, and then an augmentation once you have healed. Other surgeons find it reasonable to do both in one step, with the understanding you may need a smaller  touch-up later. With the staged approach, you know to expect at least 2 surgeries. With the combined approach, you have the potential of having just 1 surgery, and maybe 2. Definitely go with a board certified plastic surgeon for this type of surgery. Good luck!

Breasts naturally tend to sag with age and after pregnancy, and the only way to lift them (aside from a bra) is with surgery. Mastopexy (breast lift) can be done with or without implants, depending on your goal. Some women feel their breast volume after breastfeeding is smaller than their original breast size, and want to fill the volume while reducing the excess skin. Other women simply want a lift without any implants. The shape is obviously different depending on which option you choose, and if you specifically want more fill up top, then an implant may give you what you want.

The amount of lift you need determines how long the scars will be. It's basically a trade off- you improve the shape at the price of scars on the breast. These scars may heal quite well, but you should know ahead of time where they will be so you are not surprised or disappointed. Some women only need an incision that goes around the areola, and others need a full "anchor" type of incision. I recommend consulting with a board certified plastic surgeon to see what would be best for you specifically. Good luck!

Yes, you can definitely get a breast lift without getting implants. A breast lift without implants will give you a natural and more youthful breast shape by raising the position of the nipple, reducing the size of your areola (if needed), and removing the excess skin. If you want more fullness at the upper chest, then you will likely need implants in addition to the lift.

The amount of lift you need is also an important factor. A small degree of lift can be accomplished by adding implants. A larger lift means longer scars no matter what, anywhere from just around the areola, to the anchor type scar. Keep in mind sometime patients feel they look smaller once the excess skin is removed, even though no breast tissue is removed, because some of what fills your bra cup is the excess skin. I would recommend consulting with a board certified plastic surgeon and seeing what would be the best option for you.

Good luck!