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Should I Have Mini Breast Lift Along with Implants for Droopy Breasts?

After two completely different consultations, I am unsure about what to do. My breasts (B cup) are small and drooping. The nipples are not pointing south, but are more towards the bottom. Doctor A suggests mini breast lift with breast implants under the muscle, both done at the same time. Doctor B says mini breast lift with implants over the muscle, will NOT do both at same time, due to risks of infection and healing.

Both said this could be done without a lift, and I could choose to do the lift later. I really prefer not to have the lift. Also, should I go over the muscle or under? I would be willing to send photos if necessary.

Asked 28 months ago by luvbnmommy in Louisiana

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Photos would be helpful

You are in the same situation as many women who present for this surgery - the imporatnt distinction is how much upper pole fullness you desire. If you want upper pole fullness, you may need submuscular implants and a lift. However, is you want a natural looking breast, you may well be happy with implants alone, whether you decide to go above or below the muscle.

W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

Drooping, small breasts

I think you have answered your own question. You describe your breasts as small and drooping. It sounds like you need a breast lift and an augmentation. As far as placement I prefer under the muscle but I really think this becomes more of an issue of surgeon preference and what they are used to. I was trained to do under the muscle as less breast tissue is blocked when having a mammogram. I prefer to do both together in one stage.

Sharon Theresa McLaughlin MD

Long Island City Plastic Surgeon

Breast implants with breast lift.

Hi! I am afraid I disagree with both of your doctors, on different points. 1) It sounds like you really need a breast lift with a circular scar around your nipples. The scars fade, you will have much better shape, and you will ultimately be happier. The lift should be done AT THE SAME TIME as the breast augmentation. With experience, the risk of complications is very, very low. 2) I recommend round, smooth walled, moderate plus profile, cohesive silicone gel breast implants, placed... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Mini Breast Lift and / or Breast Augmentation

The question of whether to perform a breast lift is a common. Without pictures, it is impossible to give you specific advice. However, in most cases, if you have any ptosis (drooping of the breasts) you will need a breast lift in addition to your breast augmentation. Otherwise, if you just have the implants, you have still have drooping breasts on top of the implants. Some surgeons choose to do the procedure in two separate surgeries. However, I find that I get the best results by... more

David Shafer, MD

New York Plastic Surgeon

ASPS

Breast Lifts for Sagging Breasts

Breast lifts will correct the saggy shape. Implants replace volume, but do not do a great job of lifting a breast or making it look pretty. In an effort to create some lift, some doctors put the implants above the muscle, but in the end, the entire breasts sags even more. As for two surgeries, your risks are higher for anesthesia as welll as infection. My suggestion is to have a lift and add an implant if you want more volume -- and do it at the same time!

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Robert M. Freund, MD

New York Plastic Surgeon

ASPS

Breast lifting and augmentation simultaneously?

This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage. The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for... more