Breast Lift: Q&A

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Super Saggy Breasts - What to Do? (photo)

I'm 28, 5'2 and no children yet. I've always been large breasted but now they've gone way out of proportion. I'm open to anything that would improve my bust, whether it's a lift or a reduction or any other suggestion. I've been telling myself I should wait with this until I had children, but would it be ok to do it now instead? Also I'd like to still have large breasts, it's part of my personality and I don't want to be flat chested. But not with breasts down to my belly button anymore.

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22 Doctor Answers | Asked by lornaj in Baltimore

Doctor Answers (22)
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Ultimate Breast Lift ideal for super saggy breasts

Thank you for your question and photo. You are the ideal candidate for the Ultimate Breast List technique. The UBL lifts and successfully reshapes the female breast to a more youthful, perky appearance without the need of breast implants for upper pole fullness. The areola is never separated and most of the lactating ducts are never disturbed, making breastfeeding possible. A vertical scar is never needed, so scarring is minimal. Do your research. This is a great start. Kind... more

Breast lift or breast reduction?

A breast lift and a breast reduction have similar goals. In both, the object is to elevate the nipple/areola on the breast while tightening the "sling" of skin below the areola, thus giving a perkier look to the breast. In a breast reduction, there is one additional goal - to remove excess breast tissue. Insurance companies tend to cover breast reductions which they see as a functional problem. They do not cover breast lifts which they perceive as cosmetic. You... more

Breast Lifts

An unavoidable consequence of aging is the loss of elasticity, or tone, in skin and soft tissues. This process, which may be compounded by changes, which occur during and after pregnancy, will ultimately lead to 'drooping' of the breasts. A variety of surgical breast surgery techniques can be used for restoring the breasts to a more youthful position and shape. The goal is to both relocate the nipples to a higher position, and to restore breast projection (and to maintain projection for the... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Large saggy breasts. What can be done

I definitely think you are a candidate for a breast reduction and lift. The breasts don't need to be reduced any more than you would like, but at this size you will have long term problems with back pain, neck pain and shoulder pain. I would use an apron flap technique which leaves you with one hidden scar under your breast and one around your areolae.

Kenneth L. Stein, MD

5 reviews

Chicago Plastic Surgeon

Breastlift at 28?

Now is absolutely a good time to have surgery, as long as your health is good and you have no imminent plans to have a baby in the very near future. A lift with an anchor scar with a small reduction would give you a very nice result, and improve the match between the breasts. Your nipple will remain attached to the underlying breast tissue so you can ultimately breastfeed if you would like. Pregnancy and breastfeeding may impact the size, shape and symmetry of the breasts, so you might want... more

Mastopexy

You will benefit significantly from a breast lift with a small reduction componet which is necessary for reshaping the breasts. You should discuss how much smaller you would like to be with your plastic surgeon during your evaluation

Mastopexy

To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patient’s body. If... more

Mastopexy with reduction

You can have a mastopexy with a reduction. Since you want to keep the volume of your breasts, I would recommend a minimal reduction. YOu may need a revision after you have completed your family. Talmage Raine MD FACS drraine.com

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Having a Breast Lift/Reduction with larger, saggy breasts

You are exactly right in wanting to preserve the size of your breasts even though you want a lift and a reduction. You are an excellent candidate for a lift with some degree of reduction. If too much is removed and you become a small C, you might find that you are too small. You should discuss with your surgeon what you see as a successful result in terms of size. If you want a moderate reduction along with the lift, there should be no problem in achieving this. The more tissue is... more

Breast Lift, Breast Reduction, or Should I Wait?

Dear Lornaj, There are a number of issues that you need to address before you proceed. You mentioned the issue of childbearing but you did not indicate how soon in the future you plan on having children. If you are planning to have children soon-in the next year or two, then I would advise waiting until after having your children before proceeding since pregnancy will certainly change the shape of your breasts and may even require another surgery to correct. Also, you... more

Timing of breast reduction / lift

You do have long, large breasts. You would benefit from a breast lift and possibly a breast reduction. It is difficult to predict what would happen to your breasts after a pregnancy. It really depends upon how much weight you gain and how large your breasts get during pregnancy. If you anticipate a pregnancy in the next year then you may decide to hold off on the surgery until you have completed your family. If it is years away then you may what to go forward... more

Breast lift or cosmetic reduction is in order for large "super saggy" breasts.

Based on your height and weight, you will probably NOT be a candidate for insurance-reimbursed breast reduction; insurance-mandated minimum resections would almost certainly leave you smaller than you wish. Thus, as a self-pay cosmetic patient, you can choose just how much breast tissue remains after your breast lift--anything from present size (minus about 1-2 ounces of skin for the full breast lift without reduction) to as much cosmetic reduction you and your surgeon choose. Most... more

What to do?

Dear Lorna, Consultation with an American Board of Plastic Surgery certified Plastic Surgeon will probably shed significant light on your dilemma. The short answer to your question is that, of course, you can have a lift or reduction performed. The return question is does it fit with your lifestyle and child rearing plans? Good luck! see video

Super Saggy Breasts

Yes you can have a LIFT/reduction of your posted photo breasts. Seek in person evaluations from boarded PSs in your city.

Breast Reduction For Large Saggy Breasts

Given the large size and low hanging position of your breasts, you would be a good candidate for a breast reduction procedure. Breast reduction is a combination lift and size reduction procedure which can have a wide variability in the amount of reduction that is performed. You should not fear a breast reduction because you think you will end up too small. That is a discussion you need to have with your plastic surgeon beforehand so there is an understanding as to how much smaller in breast... more

Treatment for "Super Saggy Breasts"?

Thank you for the question had picture. Based on your description and picture, I think you may be an excellent candidate for breast lifting surgery. A small breast reduction procedure may also be helpful to you. Much of exactly what should be done will depend on careful communication with your plastic surgeon. In my practice, I use goal pictures to help with this communication process. Timing of the procedure will be a personal decision; if the position... more

What to Do?

You should choose between two alternatives breast lift breast reduction Either way, the incision pattern will be an "anchor," a circular incision around the areola, an incision down to the fold, and another along the breast fold. If the current size is what you want, a lift alone will be satisfactory. If you wound like to be smaller, a reduction should be considered. When you ready for an in person consultation, RealSelf has listings of surgeons in your area... more

Breast reduction surgery

You appear to be an good candidate for a breast reduction. From your pictures you clearly have dents in the shoulder bra strap area from your heavy breasts. A breast reduction would be a lift and reduction in size and likely can still leave you with a full C or small D cup size. Good Luck!

A small reduction and lift

You definitley need a lift and if you like the volume or want to be slightly smaller, a small reduction can be done as well. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift before having children

You appear to be a good candidate for a breast lift procedure (mastopexy). This allows you to retain close to the same volume but your nipples will be repositioned more to the front of your breast and they will be lifted higher. If you do retain the fuller volume there will be some recurrence of sagginess but not as much as you have at this time. I would suggest you meet with a board-certified plastic surgeon and review your options. There are incisions and subsequent scars from the breast... more

A Breast Reduction Pre Children

Thank you for sharing your concerns about your breast, many women share your same situation. You can absolutely have a reduction before you have children, A well skilled board certified plastic surgeon can help you reduce the size or your breast as well as create a flattering shape for your body type with out loosing your identity as a woman with a curvy figure. You deserve to be happy and confident in your figure, pre and post becoming a mother. Best of luck to you more

Breast Lift or Reduction

If you like the size of your breasts, then you would request a full breast lift. If you would like the breasts reduced in size, then you would request a breast reduction. The breast reduction also lifts the breasts. If you have back, neck, and shoulder pain, a breast reduction could help. Breast Reduction of Breast Lift for your anatomy should not affect breast feeding, but you should consult a board... more