Breast Augmentation: Q&A
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Can One Avoid a Vertical Scar in a Breast Augmentation?
I'm interested in Breast Augmentation to replace lost volume after breast feeding. I was told that I need a Mastopexy with anchor scar to achieve a good shape.
However, I'm not concerned with the current droopiness or nipple position and was hoping an implant might slightly improve feeling of fullness. The idea of the vertical scar really freaks me out and I'm wondering if I could get away with just a rounded implant if I am willing to deal with a bit of sagginess out of a bra or if the added weight would lead to an unacceptable degree of sagginess.
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24 Doctor Answers |
Asked by
mum_88
in UK
+2
Avoiding a breast lift during breast augmention
Your best bet may be to have a breast augmentation to the size you need, then reassess if a lift is needed. This approach requires patience on the part of the patient.
As many esteemed colleagues have pointed out, you are a bit of a borderline case.
While staged surgeries might obligate you to a second surgery, it may also avoid a breast lift, and is unquestionably a safer route.
+2
Freaking over a Vertical Scar in a Breast Augmentation Lift
In Plastic Surgery as in life, for each situation, our world is FULL of choices and options but only one or a few are really the best ones.
Your breasts are deficient in 2 correctable ways - they are empty - and would benefit from more VOLUME (BREAST AUGMENTATION)
- they are sagging - and would benefit from a BREAST LIFT (MASTOPEXY)
Adding volume (placing an implant) will minimally lift the breast, if at all. Placing a VERY large implant in an attempt to bring about a "scar-less...
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Avoid the vertical scar
You would be a very good candidate for an implant procedure without a lift (mastopexy). I would recommend placing the implant on top of the muscle to give you some lift and also I would choose silicone, it is more natural feeling when placing on top of the muscle.
With Warm Personal Regards,
David R Finkle, MD
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Beast Implants in slightly saggy breasts
While a breast implant alone will not lift your breast, it will give it an optical illusion of a lift in that there will be a greater degree of roundedness above the nipple to more closely match the tissue below the nipple. In your case where your level of sagging is a 3 out of 4 in terms of severity, the implants would need to be placed above the muscle. If you are willing to accept that the location of your breasts on your ribcage will not change and are willing to be happy with just a...
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Although you may need a mastopexy to achieve the look you ultimately desire, a breast
Augmentation alone would significantly improve the appearance of your breasts. In particular, if you had gel implants placed under the rbeasts but above the muscle, you would be able to achieve a small amountof lift, and might be happy with the fullness in your breasts as well as the size. Just be aware that if you find that there is still too much droopiness in the breasts, you would then benefit from a second procedure to lift the breasts. If you are truly comfortable...
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May avoid a lift with implants alone and get an excellent result
An experienced surgeron should be able to give you an excellent result with implants alone, judging from the pictures you sent, as long as the size you desire will aloow for a large enough implant to fill your skin envelope.
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Saggy Breasts and Breast Augmentation
Ptosis refers to truly saggy breasts. In this case the nipple is lower than the breast fold. Unless it is minor, it generally requires a breast lift to raise the nipples to the correct position.
Glandular pseudoptosis refers to a situation where the nipples are set at the appropriate level of the breast fold, but skin and/or breast tissue lie beneath the fold. In this case, implant alone, or implant with minor lower skin excision will correct the condition.
Based on your single photo...
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Avoiding Mastopexy Scars
From the single photo you have included, it seems that you would fall more into the category of pseudo-ptosis, as your nipples seem to be just at or slightly above the projection of your inframammary fold (where the breast meets the chest wall). I suspect you might be perfectly happy with just an augmentation. You can always decide on a lift later if you still feel the need.
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Breast augmentation with small amount of droop
Based on your photo, it looks like you have a fairly mild amount of droop. While you may not get a picture-perfect result with just implants alone, you may wish to consider having a peri-areolar breast lift done. This will help raise the nipple/areolar position by about 1 to 1.5 inches, and involves a scar around the outside of the areolar area, but not a vertical scar. I've used this combination frequently, and it can work very well.
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Breast augmentation with or without a lift
Mothers may find that pregnancy and breastfeeding contribute to loss of volume and firmness. If you're looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. You can get an improvement in your shape and contour with breast augmentation as long as you don’t mind being a bigger...
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