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40 Year Old Breasts. Augmentation Under the Muscle, Can They Lift What I Have As Well? (photo)

asked 5 months ago by Sweetsum691 in Grand Junction, CO
Latest answer by Richard P. Rand, MD, FACS
Question viewed 656 times
Tags: age 35-44, B to D cup, lift

I recently turned 40 and have long considered breast augmentation. After two babies and nursing them both, there is very little left of my breasts. They 'fill' a B to C cup, but they are very thin, with little to them. I'd like to be a C to a D cup(I realize that is dependent on bra manufacture, but you get the point). What will they do with the sagging breasts that I have? Do they lift them so they don't look odd with the implants??

16 answers to 40 Year Old Breasts. Augmentation Under the Muscle, Can They Lift What I Have As Well? (photo)

Lift of not

One would need to examine you to determine if you would need a lift or not. If the nipples are above the inframmary fold an implant alone would suffice. But other factors such as skin quality must also be taken into consideration. Discuss this with a board certified Plastic Surgeon. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

Breast augmentation, is it enough for me?

Thank you for the photos. I believe you can get a very nice result with augmentation alone. It seems that your nipples are at the level of you breast crease or slightly below it. You will get mature looking breasts, maybe not like what you had at age 16. You will get more fullness superiorly, the inferior pole will be rounder giving the illusion that your nipples have been lifted. See a board certified plastic surgeon who can do an examinatioin and measurements to match you with the... more

George Marosan, MD
Bellevue Plastic Surgeon

www.bellevueplasticsurgeons.com

Breast augmentation and Breast lift?

Given your helpful photos, it is unlikely that a breast enlargement alone will provide you with firm, rejuvenated breasts that are appropriately shaped with the nipple-areola complex in the appropriate position. It is more than likely that a concomitant breast lift would need to be performed as well. Of course, a physical examination would need to be performed to be able to more precisely determine exactly what you need.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Augmentation With/Without Lift

From your photos, it appears that you could have a very good result with an augmentation alone. If you were my patient, I would probably suggest having an augmentation after which I think you would be very satisfied. If you wished, a small lift could be performed later under local in the office.

John Whitt, MD
Louisville Plastic Surgeon

Sagging

As you have probably figured none of us can say without seeing you in person. Implants do fill out loose skin but are quite limited in how much "lift" you get. If you want better nipple position and tighter skin, then a lift would be advised to accomplish this

Michael Hueneke, MD
Nashville Plastic Surgeon

40 year old breasts can be rejuvenated

With a thorough examination and discussion of your goals it is likely that a very nice improvement is achievable. There are trade-offs with every surgical approach but in many cases like yours an implant in a dual plane or subglandular location will do the trick. Learn about the pros and cons of each from your Plastic Surgeon. Filling out your breast shape will correct many of the features that are currently making your breasts look droopy. good luck, Dr. Mosher

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

www.drmosher.com

Ba

You are just at that point where you can go with a straight forward aug to fill where you have lost breast tissue- if you are happy after the procedure where your cleavage is -you need not do anything else

Edward J. Bednar, MD
Charlotte Plastic Surgeon

Dual Plane Internal Breast Lift Breast Augmentation

Seventeen percent of my augmentations are done with a dual-plane approach to lift breast tissue, elevate the nipple-areolar complex, and release a tight breast crease. This is technically a breast enlargement procedure—I call it the “internal lift.” It creates a breast pocket above and below the muscle (hence the term “dual”) where an implant is inserted. By releasing the breast attachments on top of the muscle, the breast slides upward around the implant.... more

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Breast Implants and Lift?

Thank you for the question and pictures. Your breasts are in a somewhat “borderline” position on your chest wall; it is hard to know for sure since your arms are elevated holding the camera. I think you will have a very nice result with breast augmentation surgery but do not expect the breast implants to “lift” the breasts. If breast lifting is necessary ( this will be determined best on direct physical examination by a well experienced... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Will Implants Lift My Breasts?

In my opinion, implants alone under the muscle will augment you out of MOST but not all of your sagging. This is mainly dependent on how large you go. Going above the muscle will give you more of a lifting effect but will increase your risk of capsular contracture and rippling. Consult with an experienced plastic surgeon who specializes in breast augmentation to discuss what size implant would be best suited for you. Good luck.

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon

www.mpsmn.com

Breast lifts and augmentations

The implants will make you a larger version of yourself but will not lift the breast at all. Some of the answers you have received here indicate that an implant alone will be fine but read them carefully as they also say you will have a more "mature" looking breast. If what you want is more "youthful" then a periareolar lift would help in my opinion. Of course an in person exam is required to finalize any ideas.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

A breast lift can be done keeping the scars just around the areola

From your photos and from your desired final cup size, it appears as though you're a great candidate for a periareolar augmentation mastopexy. This will increase the size of your breasts with the implants and lift your areolae with the mastopexy...and the scars will just be around the areolae! However, this will most likely require saline implants. If you want silicone ones you may need a seperate incision in the inframammary fold. Either way, talk to your plastic... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Breast augmentation with or without a "lift"

I agree with Dr. Marosan and disagree with Dr. Turkeltaub. It is important to understand what an implant does and what a true lift does. An implant alone is just a pillow and fills volume forward. It doesn't matter whether it's above or below the pectoralis muscle level. It doesn't actually lift the breast, it simulates a lift by filling out the lower pole below the nipple-areola and filling in the concavity in the upper pole above the nipple-areola. In your case this should be... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast lift with implant placement

Yes, a breast lift can be performed at the same time that the implants are placed. See a board-certified plastic surgeon in your area for an evaluation and recommendations. It is a good idea to seek more than one opinion and compare recommendations. Then you can choose what is best for you.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Breast lift and breast implants

From your photos it looks like an augmentation without a lift will suffice. More importantly your posted photos show some possible asymmetries that could be magnified if you just make the breasts bigger. That is why you will need to see a qualified surgeon face to face for an assessment before proceeding. We cannot do that over the internet. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast augmentation and lift

They jsut look deflated, and more than likely a breast augmentation with a small circumareola lift may be good. If on exam it needs more, than you can possibly have a lollipop type lift.