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Best Breast Implants for Saggy Breasts?

asked 2 years ago by Syla
Latest answer by Carlin Vickery, MD
Question viewed 14,224 times
Tags: breasts, female, after pregnancy, sagging

I have had 3 pregnancies, and lost significant volume in my breast. I would like a life and Breast augmentation. Is there a preference in Breast Implants and placement for saggy breasts?

12 answers to Best Breast Implants for Saggy Breasts?

Augmentation for Saggy Breasts

Many women will lose volume in their breasts following pregnancy and nursing. The term for this is "post-partum" atrophy of the breasts. Some patients can return to a more youthful pre-pregnancy appearance with the placement of either saline implants or silicone gel implants. 'Better coverage of the implants is achieved by placing the implants under the pectorals muscle. Additionally, mammography is easier to perform with the implants under the muscle. In some patients who have... more

Carlin Vickery, MD
New York Plastic Surgeon

Sagging and implants

Breast implants do not correct sagging breasts. They will increase volume and more than likely you will need formal lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

Discuss risks alternatives and benefits or various approaches

There are options and no right or wrong options. over the muscle will achieve the greatest amount of "filling" of the "deflated" appearance however, there is a tradeoff of not placing the implants under the muscle (softer upper pole contour, ;lower rate of capsular contracture, easier mammogram interpretation).

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implants for saggy breasts.

Hi! 1) Breast implants will help a lot with moderate sagging, which is what you have. Of course, I am just going by one picture, but you probably don't need a breast lift. 2) I recommend round. smooth walled, moderate plus profile, silicone gel implants placed over the muscle. The right size is about 300 cc's, but this is just an educated guess. 3) Take a look at the breast augmentation page on my website to see how we pick size.

George J. Beraka, MD
Manhattan Plastic Surgeon

Best Breast Implants for saggy breasts

As you can readily see there are subtle differences of opinion with well educated plastic surgeons. In my opinion, you will most benefit from an Augmentation and Lift (Mastopexy) Procedure done at the same time. It would both fill the breasts as well as lift them to a more youthful perky appearance. Although both Saline and Silicone Gel implants may be used, my preference would be for the gel implants which although more expensive feel more natural and are slightly lighter (for the same... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Transareolar incision more than breast implant type

You may need a breast lift, as breast implants do not lift the breast. I have found that placing breast implants through a transareolar incision during breast augmentation is a better method for breasts that have sagged.

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Breast Implants for Saggy Breasts

Good Morning Syla, It is important to remember that breast implants are used to increase the volume of the breast and only provide a fairly small lift. No particular implant is best for saggy breasts, however, I do favor silicone implants to achieve a more natural appearance and feel to the breasts. In your case it appears you may have several options. Placing implants above the muscle may give you a small lift and a very 'natural' appearance. However, it is more likely that you... more

Louis DeLuca, MD
Palm Beach Plastic Surgeon

Best breast implants

Unfortunately Syla, there are no best breast implants for saggy breasts. The implant is the device that gives volume to the breast, and while I am a firm believer in silicone I am also a clinical investigator for a new type of implant called the Ideal implant. It appears to me that you will need a combination surgey of a lift plus implants or an Augmentation Mastopexy. Very often I do these with just a scar around the areolar and sometimes using a vertical scar as well. When I do a lift,... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Benefits of augmentation and lift

Syla In your photo your arms are up which tends to lift the breasts a bit as well. I would agree that you look like your breast option is an appropriate sized implant accompanied by a breast lift (so called augmentation mastopexy). If you have an implant alone you will either end up with implants sitting lower on your chest or breast tissue virtually hanging off your implants. Talk about your options with your plastic surgeon who should guide you to what is your best option for breast... more

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

Augmentation Mastopexy

Based on your pictures, it looks like you would benefit form an augmentation mastopexy (implants and lift). You have deflation of your breasts and need the added volume from implants. You also have ptosis and asymmetry of your breasts which can be improved with a mastopexy. I prefer silicone implants since they have a more natural feel. Good luck with your surgery.

David Shafer, MD
New York Plastic Surgeon

Breast implants for saggy breasts

There are several options that incorporate breast implants to help sagging breasts. There is no best implant, but bigger implants (to a point) work better than smaller ones. Placing the implant above the muscle may give more of a lifting effect, but only in patients who have enough breast tissue. Your areolas appear a little low and large... you may be a candidate for augmentation with a periareolar lift. My best advice to you is to seek consultation with a board-certified plastic surgeon... more

Michael Diaz, MD
Melbourne Plastic Surgeon

The surgeon you pick is more important than the implant.

Syla: I want to answer your question a little differently that some other posts. I think it is a mistake for you to concentrate on advice about a particular implant style, shape or size. I suggest your most important decision is the choice of an experienced board-certified plastic surgeon. After an in-person evaluation and thorough discussion, your surgeon would recommend methods to help you achieve your desired results. Those recommendations would include implant recommendations. My... more