Louisville Breast Lift doctors

Scott L. Replogle, MD Scott L. Replogle, MD
Denver Plastic Surgeon
1032 S. 88th St., Louisville
39 answers

Recent Answers

Which Procedure is Best for Saggy Breasts For a 22 Year Old? (photo)

I'm 22 years old and my breast sag and lay nearly flat on my chest. Bending to the front makes them look like cow utters and laying back they look deflated. I'm a 34C and I don't want to be bigger. I also heard that lifts take a long time to heal and can come undone. So my question is what is the best approach to take?

A: Saggy breasts with C cup volume

Given that you don't want or need to be larger and your breasts are too low to augment anyway, your only option is a true lift of your breasts which can be done through a lollipop incision.  

It is important to understand what a lift (mastopexy) does and doesn't do contrary to some of the responses here. A true breast lift leaves the nipple-areola attached to the breast and remains functional but actually moves the breast up on the chest and gets it to heal in that position. Trying to suspend it with permanent sutures is a new approach and may well be unreliable long term. Procedures that try to lift the breast up with the skin are also prone to failure and recurrence. Procedures that move the nipple-areola up (periareolar mastopexy) are not true lifts. 

A true lift gathers all your breast volume up higher and does not add or subtract breast volume. The breast will look larger just as a bra does but it will not actually be bigger (or smaller). It's a myth that a lift "tightens" the breast or makes it perky. There is no forward projection to speak of and it does not specifically fill in the upper pole scallop but it does reposition, gather, and reshape the breast with the trade-off of the incisional scars. I would recommend a true lift alone and then reevaluate later for the need of an implant for pillow volume but don't do the two procedures at the same time. 

Scott L. Replogle, MD
Denver Plastic Surgeon
I'm 22 and Considering a Mastopexy After Severe Weight Changes Throughout my Life, Can I Do It w/o Implants? (photo)

I'm 5'2 and am currently at a 38DD. I'm about 150lbs currently but at my heaviest was around 220lbs. I realize I'm still very young but I've become very self-conscious about the stretch marks and sagging throughout my body. I'd very much like to have my breasts lifted without implants but from what I've read, I'm not sure that's likely. Advise please? Thanks! :)

A: Mastopexy after weight loss

I would strongly advise you not to include an implant with a mastopexy at your size, after weight loss, and with a reasonable volume and shape of breast. Your breasts will not get bigger with a lift but they will look bigger and the minimal projection implant that fits your breast will normally increase it a cup size which is not very meaningful or desirable when starting from a D cup. 

I would disagree with one answer relating to scars from a vertical type lift. In my opinion you don't need a wise-pattern (boat anchor) type incision and those with extensive experience with vertical lift incisions (lollipop incisions) do not have added scar problems at the level you need lifting. I would also add that the "Ultimate Breast Lift" is not a well established technique with years of experience and like many early procedures with capital letters for names, may not be as good as it sounds. 

Scott L. Replogle, MD
Denver Plastic Surgeon
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