Breast Implants: Q&A

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Breast Implants to Lift Slightly Sagging Breasts?

Will breast implants improve my slightly sagging breasts without a lift or will I need a lift as well? My chest lacks volume (I have lost alot of weight), and my breasts are far apart, deflated and a bit saggy from the front. But from the side, the nipple and areola are well above the crease.

I'm 22 and plan to have kids and breast feed them someday. I'm 5'4 and 128 pounds and my bra size is a small 34B (Breast width=13cm). I'd like to be a full C-D cup again (that was my cup size when I was heavier). What kind of implants would suit me best?

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age 18-24 areola breasts nipples C cup D cup sagging female 5 ft 4 in to 5 ft 7 in breast feeding 110-129 lbs B cup

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21 Doctor Answers | Asked by misspc in over the rainbow

Doctor Answers (21)
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Breast Implants Will Improve Sagging Breasts But May Need Lift after Future Pregnancy

Thank you for your question. From your photo Breast Implants alone should give you a nice result. However after your future planned pregnancy you may well need a Breast Lift

Breast implants without a breast lift

Based on your photo above, it appears breast implants alone would address your desire for fuller/larger breasts without the need for implants. This is not always possible to determine based on photos alone however. Remember, that once the implants are placed during surgery, your breast shape or nipple position may seem different and there is an outside chance you may need a lift, but I doubt it. I would definitely have the implants placed under your pectoral muscle as you are planning... more

Breast Implant with Lift?

Judging purely by your photos, you may be fine with an implant only. There can be argument whether it should be subglandular versus submuscular versus dual plane. You have enough lower pole tissue that a dual plane would help you and give the result you need without the down fall of subglandular implants. I would try to match the implant to your base diameter and you may benefit with a higher projecting implant to get you the fill and as much lift as possible. Just remember only through... more

Implants Won't Lift But Will Fill Your Breasts

Your nipple is at or above hte fold, and you have lost a lot of upper pole fullness. As long as you do not mind the fold of your breast getting a bit longer, and do not mind being full (C-D range), and given your agee, I say an implant alone may be best for you. After you have kids, or on down the road a few years, a lift would be more beneficial and acceptable to you.

Breast Implants would provide you with lift and fullness

Looking at your photos, you have some volume loss but not a huge amount of ptosis or sagging. We grade sagging into 4 categories. It can range from minimal sagging, to severe ptosis where the nipple and breast tissue is way below your crease at the base of the breast. Implants in your case would improve the fullness and slightly lift the breast and nipple. If you truly want to be a full C-D, then a round, moderate profile silicone implant would work best. An incision in the crease would... more

Implant size and cost

I think all you need is an implant, but you may need a lift after having children. Having said that, I would put the implant under the muscle to preserve more blood supply to the nipple in case you want a lift later. As far as size is concerned, a 350- 375cc implant will probably put you into a large C/small D cup. Once you decide on the volume, then the profile will be determined by the width of your breast.

Augment to achieve lift

Excellent question and one posed frequently by patients. An augmentation will elevate the nipples and improve the appearance of slightly sagging breasts. Of course, the degree of skin laxity cannot be assessed from the photographs but generally augmentation alone to an appropriate size can accomplish your goals now. A lift can be considered now or at a later point in your life.

Implants usually don't give much of a lift

The position of the nipple rarely changes with breast augmentation. What does happen is the loose skin may be stretched and filled in by the implant. The only way to lift the nipple is with a breast lift. You may however get enough fullness with the augmentation that you will be happy with the nipple position. A lift can always be done later if needed.

Breast Implants can lift your sagging breasts

Breast implants can lift your sagging breasts. If the sagging is minimal, this may be all that is needed. However, usually with significant sagging, a breast lift and breast implants may be necessary to achieve a good result. A careful physical examination and discussion of your option at the time of a consultation with a board certified plastic surgeon is essential to properly evaluate your concerns and treatments.

Breast augmentation for mild breast lift

It is possible to fill out a slightly droopy breast with an implant in order to give the appearance of lifting the breast. This is just an illusion however. Augmentation just makes bigger what you naturally have. The only real way to lift a breast is to remove skin. The fullness one get with an implant tightens the skin, and appears to lift the nipple areolar complex. In your situation, a moderate sized implant in the 300 cc range would do the job

Implants versus Implants plus Lift

Hello, Implants alone will give you a fuller appearance, but will not lift anything. The fuller appearance may make you happy. You could always add a lift later if you wanted. It is difficult for me to say more without examining you and taking a few measurements.

Breast implants to lift slightly sagging breasts

The SIMPLE answer is - YES. But - your predicament is common and NOT simple. Some comments: - If your weight loss is on going - I would weight until it has stabilized. - RE "I'm 22 and plan to have kids and breast feed them someday." - IF the someday is in the next 2-3 years, I would urge you to wait until after having your family but - if it is longer you may want to have something done. - as far as your degree of droopiness (Ptosis in Plastic surgery speak) you state that the... more

Breast Lift with only an Augmentation

If you are like you say you are, with the nipple-areola above the breast crease. Then an augmentation is all you will need usually. When you lost weight, you lost volume and the breast sagged some. If you can replace the amount of volume you had before, then you are back to where you were. To do this, you need to let the breast tissue rise up over the implant. The best way to do this is with an implant over the muscle. To give the best chance of not having scar develop around the implant in... more

Breast augmentation plus or minus lifting

You have enough downward descent of the nipple that without a lift you will look matronly with just an implant in my opinion. One way patients like you can have a nice result with less worry about eventual breast feeding issues is to have submuscular implants placed through the crease and have a skin only periareolar mastopexy so the scar is only around the nipple but the subtle lift you need is achieved.

Breast implants for breast lift

Thanks for the great question - Breast implants can provide a small amount of lift. In this case the larger the implant the more lift you will get. Whether this is the right choice for you is difficult to say without an physical examination. Part of the decision depends on the quality of your skin (skin with poor elasticity tends to be more difficult to provide a good lift without additional procedures.) Part of the discussion would also include the amount of lift you were seeking. But... more

Get a good evaluation in person

I would disagree with everything written by my colleges. No one can tell you with a great deal of certainly whether breast augmentation alone is the best option for you particularly with pictures you provide. Your surgeon must evaluate your skin envelope, determine exactly where you nipple is located in relation to the breast fold a measure other qualities of your breast. He must talk with you and get an idea of your expectations. Only after going through this process can you find out... more

Breast Implants to Lift Slightly Sagging Breasts?

I would agree with Dr. Aldea's statements. Although implants would restore lost volume to the breasts and give the appearance of fullness, it would be short lived. Furthermore the implants would likely not appear any closer together.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

How Much Breast Lift With Breast Implants

You have the classic look of deflated breasts. This is common after weight loss, breast feeding or aging. In these cases I recommend low profile implants to fill the upper pole of the breast that you have lost. It looks to me like 275-300cc implants would be just perfect to get you to a "D." A small cresent type breast lift is likely to be needed as well. Even though the nipples are in a good location the implants may or may not lift them enough to look perfect.... more

Breast implants/lift

Although in your photos, you do not seem to have significant ptosis, angles fromthe camera may distort it a bit. If you do not have ptosis, an implant may give you the look you desire. If the areola are a bit low, then a small lift around the areola should do the trick for you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast implants will correct slight breast sagging.

Hi! 1) For you, I recommend smooth walled, round, cohesive silicone gel breast implants over the muscle. This will help a lot. 2) After you have had kids, then you may need to consider a breast lift. But not now. 3) See link below.