Small Breast Implants for Sagging Breasts After Lift?

It is very difficult to answer this question specifically in your case without seeing before and after pictures. Sometimes the procedure can be altered to prevent this from happening, sometimes an implant is required. My concern with a small implant is that it will be very difficult to make sure it is placed and stays where you want it. If it settles into the breast you will have a worse situation. On the other hand if the breast continues to sag and the implant stays you will have the... more

It sounds as if you have a maldistribution of breast volume. That is, your volume and size are adequate or even too much, but it is in the wrong place creating a displeasing appearance. Although it sounds odd, some patients need a reduction-augmentation-mastopexy. You essentially remove tissue in the wrong place and replace it with implant volume in the desired place. In you, a reduction combined with the associated lift will make you smaller but more ideal in distribution of the breast... more

Once your breast settles following a breast lift, upper pole fullness is very difficult to maintain. Even though you have large breasts for your size, it is nearly impossible to achieve upper pole fullness without using an implant. Yes, it does sound strange but you need volume to be placed in a specific part of the breast that gravity normally doesn't allow. All you probably need is a small implant, but it seems like that might be the answer. I recommend going to see your surgeon... more

Hi, Your sagginess seems to be loss of upper pole fullness, which is a problem that a lot of women have after breast lift. This is usually because the supporting ligaments of the breast are simply not strong enough to combat the effects of gravity. There's really nothing you or your surgeon can do to prevent this sagging, short of having you wear a strong support bra at all times. Given your large breasts and relatively small frame, it's not surprising that you have already begun to... more

There are several choices you could make and they all depend upon what you want to see, and what are the sequela of these choices. Some breast lift techniques do cause eventual lack of fullness in the upper pole of the breast. Often, women want this area filled and one technique for accomplishing this is to use an implant.  Ask your surgeon to see several pictures of patients who have had this done to determine if this is your goal.

Breast lifts and breast implants is probably the area of most confusion and misconceptions of what they are and what they do even to plastic surgeons. Breast lifts (mastopexy) come in all kinds of different techniques, many of which are considered outmoded or old fashioned and some of which are overrated in terms of what they accomplish. As was pointed out in some of the other responses, a modern breast lift involves truly repositioning and reshaping the breast gland itself with the... more

This can be a tough problem to address. If you think of your breasts as balloons, it becomes clear that without volume, they will droop. Adding a small amount of volume, as with an implant, can help to fill that "balloon" and lift the breasts. However, without an examination, it's hard to say if you would need another small lift instead or in addition to implants. Sometimes the skin quality is poor secondary to weight loss, which makes it more challenging to achieve good... more

It would be difficult to suggest anything without formally examining you. A lift should be performed with molding of the tissue and then redraping the skin over it. Yes, sometimes a breast implant can help fillout the breast. But, It is so individualized that I would have to examine you to tell you what would be best for you.

Hi! 1) How a breast lift is done is key to long term perky shape. If a lift is done just by tightening the skin envelope (most common), skin stretches and you rapidly loose the lift ("bottoming out"). 2) We believe that a lift should be done by SHAPING THE BREAST INTERNALLY. There is no pulling of the skin. This is the vertical breast lift which leaves a lollipop scar, and produces good long term shape. 3) You should not get breast implants if you are already a C cup. I... more

SEE VIDEO BELOW: A small breast implant placed above the muscle is the only way of reliably achieving upper pole fullness in the nude. Alternatively, you can wear a pushup bra but I understand that this defeats the purpose. see video

 If the nipple and areola have stayed nicely elevated in a youthful position, and if you have lost upper pole fullness, you might well need a small implant to fill the upper pole. If you have doubts about the plan, see another surgeon for an opinion.