Breast Augmentation: Q&A
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Will Implants Correct my Sagging?
I am 25 and had one child when I was 18. My breasts were a 36B pre-pregnancy and blew up to a 36DD during the pregnancy and for the duration of my breastfeeding. I am left with loose skin and no fullness at all. I am now a saggy 36C. I dont want really high breasts, but I want them to have a much fuller, rounder appearance and want to fill them up to a round D or DD. Will I have to go under or over the muscle to achieve?I do not want a lift at all.
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27 Doctor Answers |
Asked by
AmyinOC
in Anaheim, CA
+2
Breast Lif along with Breast Augmentation or "augmentopexy"
Breast implants alone will not fully lift your breast. You need to also have an inverted-t or anchor mastopexy or breast lift. Both of these procedure can be done at the same time with very good expected outcome.
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Implants alone will not correct your sagging
The ptosis of sagging of your breasts is too much for an implant alone to correct. You would need a breast lift. This can be performed together with an implant. An augmentation to a D or DD, however, will leave you susceptible to further sagging so be advised that if you opt to go that large, you may need further surgery in the future.
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Lift or augmantation?
You will certainly need a lift as well. You will need an exam to determine whether a periareolar scar or a 'lollipop' scar is necessary
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Implants will not generally correct sagging
In your particular situation, large implants can be placed to increase your size to a full D or DD, which may or may not be the look that you are trying to achieve. Since you have loose skin and a degree of saggin, the lift will mainly be achieved by the bra you are wearing and not from your breast tissue or implants. Furthermore, larger implants will likely look better on top of the muscle rather than underneath. This may be okay for you depending upon your goals....
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Yes- but it depends...
Your case is a typical case where implants with a breast lift are recommended. Your desire to avoid a breast lift is not uncommon and I have many cases like yours. Typically the solution involves placing implants over the muscle in a slightly lower than normal postion. Clearly this an advantage in your case- but this procedure does have its disadvantages. Implants placed over the muscle are easier to feel- a bigger issue with saline implants compared to silicone...
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Breast augmentation
The answer wil depend on what your expectations are. Implants alone (without a lift) will give you more fullness in the upper pole of the breast, but you will eventually need a lift to avoid a "double-bubble" appearance. If you wants more breast projection, then a lift is all that you need. If you want more projection and size, then a lift and augmentation.
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Specific recommendation for sagging breasts
To achieve a round full breast appearance with the volume of breast tissue you display as well as the degree of ptosis (sagging), I would likely advise a lift with small glandular reduction followed by subglandular or submuscular implants. You may need a revision in 10 years due to the volume of tissue and the tendency for resurrent sagging.
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Choosing whether or not to do a breast lift with breast augmentation
Implants alone will provide a more aesthetic contour to you lateral and oblique profiles. However, the position of your nipple may predispose you to a breast lift in the future.
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Breast augmentation together with breast lift
Plastic surgery of the breast is a balancing act between nipple and breast tissue (with or without implant) position on the chest and the skin envelope. We want things a specific size and in a specific position and we want the skin around it to fit it. From your single photo one cannot tell what the skin breast balance exactly is. The nipple position is a little low and the skin is loose around the underlying breast tissue. No matter what you do with respect to implant size and position...
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Los Angeles Plastic Surgeon
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You will need to have lift
The position of the nipple and amount of the sagging below the inframammary fold dictates the need to the lift procedure. You need to have personal evaluation by a board certified plastic surgeon.
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Implants for sagging
Unfortunately you can not augment yourself out of the need for a lift. the implant will restore the volume you desire but will not lift the breast to a more youthful position. The areola has become enlarged and this will appear even larger with more volume.
The ideal operation for you is a combination procedure of a lift and an augmentation. The scars from these procedures heal well.
You can have an augmentation alone but this will not likely give you the results you are...
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Implants Correct my Sagging
To a degree the very large implant can give a lift effect. I recommend in person evaluations with boarded surgeons in your area. Sizes of 600 to 800 cc's above the muscle could be discussed but I really would not recommend this. Best from MIAMI Dr. Darryl J. Blinski 305 598 0091
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Can Breast Implants REALLY Lift Sagging Breasts?
Regarding : "Will Implants Correct my Sagging?
I am 25 and had one child when I was 18. My breasts were a 36B pre-pregnancy and blew up to a 36DD during the pregnancy and for the duration of my breastfeeding. I am left with loose skin and no fullness at all. I am now a saggy 36C. I dont want really high breasts, but I want them to have a much fuller, rounder appearance and want to fill them up to a round D or DD. Will I have to go under or over the muscle to achieve?I do not...
more
+1
Breast improvement
+In the picture you provided you have a great deal of sagging.But is the goal perfection or a reasonable improvement in the breast shape , fullness and sagging.
A augmentation is reasonable and then you see what the result is in about 6 months and decide if you want further improvement which would be a modified Mastopexy to correct the defects you have or accept the result as it is.
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Sagging and implants
Breast implants give you more volume but will not correct the sagging. You need a lift for that. Sorry.
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Surgical Options for Sagging Breasts
You have received various opinions . There are not any wrong answers. You really need to visit with board certified plastic surgeons to view there before and after pictures. Especially pictures where the pre op photo is close to your situation and the result that you like. That surgeon's technique is best for you.
Dr. ES
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Pleasing appearance possible without formal lift with proper technique
Hi there-
If you review my photo gallery, you will see a patient who's before photos are very similar to yours, and who's goals were met very nicely without a mastopexy.
Technique is critical- please find a surgeon very experienced in advanced breast techniques.
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Breast Implants vs. Breast Lift - Choosing the right operation
Dear Amy,
Your request is a common one: Everyone wants to avoid the scars from a breast lift, but most people want the result. Implants add volume to the breast, and only create a lift effect if the skin envelope is tight compared to the implant. Since your breasts had gone to a DD during pregnancy, the skin has been stretched out to that size, and large implants will only result in large, saggy breasts. I've even made a video that reviews these issues - be...
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Using Volume Only to Fix Saggy Breasts Is Possible, But Has Consequences
Most surgeons would say that you need to have a breast lift. The medical term for what you have experienced is post partum mammary deflation. Notice that you can still see some breast skin below the areola (the colored part around the nipple) in the upright position? That means that there may be some hope for an implant only solution to your problem.
Depending on the thickness of the tissues in the upper part of your breast, along with an assessment of the...
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Probably Not, Quite Simply Put
Although it is difficult to tell without examining you, it appears your nipples are below the infra mammary fold. While implants will fill you up they will not lift the nipple areola complex to the middle of the breast. To do that you would probably need a periareolar or lollipop lift. See a board certified plastic surgeon for a complete evaluation. Good luck from Dr. Schuster in Boca Raton
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Consult a plastic surgeon to see if implants will help sagging
To be honest, the use of implants to correct sagging can be a trap and even worsen sagging over time, so you need to be seen by an experienced plastic surgeon to see if it the answer for you. You did mention that you want fuller breasts which the lift would not provide, so it does seem likely that implants will be recommended. This is especially true when the breasts have lost volume after pregnancy.
+1
Breast implants alone may give a beautiful result.
Amy, while I respect the opinions of my colleagues who are telling you about a lift, careful consideration of your specific anatomy and requests may well allow implants only to give you the fullness, size, and "not too high" appearance you request.
I can't tell from your photo alone (examination can determine this easily), but it looks as if your nipple areola position is at or slightly above your inframammary crease position. If this is indeed the case, and keeping in mind...
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+1
Implants alone do not correct sagging
Amy,
Implants alone will just add volume to your breast. They will not lift a sagging breast. You most likely need a lift that involves placing a scar around the areola and in a line from the areola to the breast fold.
Looking at your picture it is clear that an implant alone or a lift with a scar placement around the areola only will not give you a sufficient lift. However sometimes women would rather have no scars and just implants alone. It is something...
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Implants could help but not enough
Implants can sometimes help with sagging - but not in your case. You really need a lift. Don't make the mistake of thinking that bigger implants will give you more lift. They won't.
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Do I need a lift
Amy,
Even though you are a young woman you show laxity in your breasts that will not be corrected or improved with an implant above the muscle in my opinion (please see the attached weblink). Upper breast fullness can be achieved with breast implants but this will not tighten the lower breast leading to low hanging augmented breasts if you go above the muscle and breasts hanging off the implant if you go below the muscle.
I hope this helps.
Dr Edwards
+1
Breast implants will improve moderate sagging.
Silicone breast implants (about 300 cc's) over the muscle will give you something like what you want.
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Sometimes you need a lift....
Implants are not a substitute for a lift. I often see ladies in the office who either had much larger breasts before or during pregnancy or who have lost a large amount of weight who come in with a breast appearance much like your. The problem that you have is excess skin below the level of the breast fold. Implants, either above or below the muscle, simply will not do anything to correct this. You need a lift to take out the stretched out skin. Women often say...
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