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?

Doctor Answers 29

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 an exam can it really be decided if you need a lift.
Good luck.

Orange County Plastic Surgeon
5.0 out of 5 stars 60 reviews

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.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 224 reviews

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.

Dev Wali, MD
Claremont Plastic Surgeon
5.0 out of 5 stars 40 reviews

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 to breast feed in the future. The choice of salne vs silicone is one of preference, however most patients feel that silicone has a more natural feel.

Please consult with a board certified plastic surgeon in your area prior to any cosmetic breast surgery.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 239 reviews

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 give you a great result as it would be minimally visible. Eliminating the lift and keeping the implant submuscular would decrease any complications with future breast feeding.

Seek out a Board Certified Plastic Surgeon and discuss all these issues with them.

Good Luck!

David A. Dreyfuss, MD
Orland Park Plastic Surgeon
4.5 out of 5 stars 3 reviews

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.

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 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.

Fredrick A. Valauri, MD
New York Plastic Surgeon

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

Anthony Dardano, DO
Boca Raton Plastic Surgeon
5.0 out of 5 stars 11 reviews

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 nipple and areola are well above the crease - that being the normal youthful position, the choice of the implant that would best fill your breasts is based on multiple factors,the 2 most important ones in my opinion are the extent of current breast tissue available to cover the top of the implant AND the extent of chest flat realty the implants can sit on.

Any implant would improve your appearance BUT your present breasts would require large implants 400cc plus which would have to be centered under your lateralized nipple areola complexes - resulting in a full but displaced look. Moreover, the larger implants will be associated with a faster droop of the augmented breasts. You MAY wish to consider a minor lift (which would centralize the nipple areolas and better cone your breasts) combined with an augmentation with an implant in the high 300. That may yield a better cosmetic and longer lasting result.

I hope this was helpful.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 83 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.