I am 23 years old and a 36DD. I had my daughter 6 months ago. My breasts are sagging, but not too bad. I am wanting to get a lift and implants and still keep my size. Is it possible do do that and without the scars?
A lift will help your droopy breasts but will require some scars. You may or may not require an implant as well depending on the quality and quantity of your breast tissue. With a breast lift, your own breast tissue can be restructured to give the appearance of a fuller breast. The extent of scars for a mastopexy will depend on the extent of droopiness and the quality of your skin.
Surgery by definition requires scars. The question is where are the scars, how long are the scars, and what is the quality of the scars. Scar quality is unpredictable for a specific scar although there are statistical estimates of the quality for specific techniques that may suggest how noticable or acceptable they may be. It is quite possible to retain size since a breast lift will often reduce the size or spatial volume of the breast by compressing the breast tissue and an implant may be used to restore some of that volume. What you may end up with is a breast of similar size but increased firmness or density and different (i.e. improved) shape. Breast lifing in combination with implants is a very common procedure for post-partum breast deflation and sagging.
This is a common question from my patients that have larger, ptotic breasts. I routinely place a smaller implant (150 to 250 cc) in a small submuscular pocket to add fullness to the upper breast which does not significantly increase the bra cup size. This usually is combined with a breast lift procedure. The size of the lift scar will depend on how much extra breast skin you have.
This is one of the most interesting clinical situations that we face. A large saggy breast with flat upper pole. There are few ways to address this:
1. Perform a lift only, which will give some upper pole fullness and remove the excess skin. There has to be scars from this procedure.
2. Place an implant to fill the upper pole and perform a smaller lift.This will make lesser incisions but chances are that the volume will be bigger. To make the volume neutral, the lift will have to include breast tissue excision.
Hope that helps.
It is a mistake to reduce a DD breast and place an artificial device. Implants should be reserved for patients with Small breasts and not for patients who need a lift and already have substantial breast tissue .
A well trained surgeon should be able to give you an implant look by remodeling your own breast tissue without the use of an implant .
This will serve you better in the long run without any problems associated with breast implants.
Best of luck
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