Sublandular Breast Augmentation for mild sagging

Pamela B. Rosen, MD answers: Is subglandular breast implant placement right for me?

I'm a mother of 2 who breastfed so I do have some ptosis. My current size is a 36B but am looking to only go maybe to a large C at most. I have been to a plastic surgeon for a consultation and he suggested placing the breast implants subglandular. I was wondering if his opinion would change since I'm still losing weight. Also, I'm leaning towards saline implants instead of silicone now. How many consultations should I get before proceeding with the procedure?


Pamela B. Rosen, MD
4 months ago

     Subglandular breast augmentation can be a good choice for a woman such as yourself with mild ptosis (sagging) due to childbirth.  If you lose additional weight, however, the ptosis may get worse. If that happens, you may need to consider doing a mastopexy, or lift, along with the implants.  The disadvantage of the mastopexy is the additional scarring, however with time (a year or two), the scars do fade quite a bit.  The advantage of the mastopexy is that you can have the implants placed under the muscle instead of in a subglandular position.  If you do choose to have a subglandular implant, you may want to seriously consider using the new cohesive gel implants.  Saline implants have a tendency to ripple over time (even when over-filled), but if the implant is positioned under the muscle the rippling is less evident.  Either way, it's a good idea to finish losing most of your post-baby weight and to have at least one other consultation before making any final decisions.

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