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Correction of Moderate Breast Ptosis

asked 1 year ago by Ttowngirl in Tehachapi
Latest answer by Adrian Richards, MD
Question viewed 494 times
Tags: age 45-54, 130-149 lbs, 5 ft 4 in to 5 ft 7 in, ptosis, lift, scar

I am a 48 years, 5'4" and 140 lbs. I had one child and breastfed. I want to improve the sagging and increase volume of of my breast but wish to avoid scarring if possible.

My nipples are slightly below the breast crease and my areola are rather large. I have opted for submuscular saline implants of approximately 350cc. I know that this will not correct my sagging, but I hope my lift would be crescent or donut, not lollipop. Should I get my lift done concurrently?

13 answers to Correction of Moderate Breast Ptosis

You would benefit from a breast uplift procedure

Thank you very much for your enquiry, I thank you for sending your photographs. I agree that your areola is slightly large and the areola on the left side is slightly lower than on the right. I think you would benefit from a breast uplift procedure and it maybe possible to perform a dough nut lift on the right but I think you would require a lower part incision on the left to go into the correct position. Other surgeons may favor an areola incision around your areola but I... more

Adrian Richards, MD
London Plastic Surgeon

Should you have a breast lift and implants together

A breat lift and Implants together does increase the risk of of surgery - specifically losing the nipple and areola and the need for revision. However, it is safe to do under the right circumstances. For you, i think that a donot lift would help but will not lift all the way. A lollipop would be better and the scar on a lollipop lift usually heals well.

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Breast augmentation and lifts

The point at which a breast is too ptotic (saggy) to augment with an implant in my opinion and experience is when the nipple is lower than 2 cm below the level of the inframammary crease behind it. If the nipple is at or above this level then an augmentation with an implant can be done with a minimal inframammary crease scar and the breast will get a lift "effect" although not a true lift. Also if the nipple level is at or above the 2 cm below level then a mastopexy... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Correction of Breast Ptosis

Without a physical exam, it is impossible to make accurate recommendations. In cases of mild ptosis, I breast augmentation (dual plane technique) often can correct/improve very mild ptosis. If additional lifting is needed, a crescenteric or periareolar mastopexy should to the trick. Hope this helps.

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Periareolar breast lif, breast augmentation, breast ptosis

You can have saline implants with periareolar lift. No problem. We do this type of surgery in our office on outpatient basis. Hope it helps. HC

Helen S. Colen, MD
New York Plastic Surgeon

Augmentation and Mastpexy Together

Correction of Moderate Breast Ptosis I am a 48 years, 5'4" and 140 lbs. I had one child and breastfed. I want to improve the sagging and increase volume of of my breast but wish to avoid scarring if possible. My nipples are slightly below the breast crease and my areola are rather large. I have opted for submuscular saline implants of approximately 350cc. I know that this will not correct my sagging, but I hope my lift would be crescent or donut, not lollipop. Should I get my... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

Augmentation and lift

A fulle xam is needed but perhaps you can have a lift around the areola only with the implants placed. Hard to say withour an exam.

Steven Wallach, MD
Manhattan Plastic Surgeon

Moderate breast ptosis

If you have already chosen a surgeon, he is the one to decide on how the procedures should be done. In general, it is quite safe to do an augmentation and periareolar or superior crescent lift together as long as you don't go too large. Be aware that a periareolar lift will usually enlarge the size of your areola. RObin T.W. Yuan, M.D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Correction of breast ptosis

If you showed these pics to 10 different plastic surgeons you might get 10 different opinions. My experience is that to correct ptosis and to reshape your breast 3 dimensionally you need to have a 3DMENSIONAL proceedure like a mastopexy ( lift/shaping). Be very careful about 350 cc prostheses in your breasts because the weight may cause recurrent ptosis or "bottoming out".

Barry H. Dolich, MD
Bronx Plastic Surgeon

Moderate or mild breast ptosis

Remember that the point referred to when looking at breast droop is the 'center' of the nipple and not the lower edge of the areola. The crescent breast lift has a very poor record of success and would not get our vote. The around the nipple or 'round block' lift does make sense for mild to moderate ptosis. If you are concerned about the scar, consider a periareolar approach to the augmentation, and lift later on if the implant doesn't push the nipple high enough to... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Correction of Moderate Breast Ptosis

You could benefit from periareolar approach to parenchymal lift ,thus avoiding the vertical scar. At the same operation you can augment your breasts with implants.

Erel Laufer, M.D.
Tampa Plastic Surgeon

Mastopexy with Breast Augmentation

If your nipples are below the inframammary crease, then you need at least a “lollipop” (vertical) Mastopexy, as a do-nut or crescent Mastopexy will not give you the lift you need.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Mastopexy with Implants

With the amount of breast tissue which you have now, a 350cc implant is going to give you quite large breasts. I would avoid a donut mastopexy in general and specifically in your situation. There are advantages and disadvantages to having the procedures performed together. You should discuss your options with your plastic surgeon who can assist you in making an informed decision.