Why Do Some Breast Augmentation Results Appear Saggy? Doctor Answers, Tips

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Why do some breast augmentation results appear saggy?

The issue of sagginess has two components. The first is related to the position of the implant on the chest wall. If the implant is placed low on the chest wall, even if it is in harmony with the skin envelope and nipple position, it will appear to hang too low, or sag. The second has to do with the position of the nipple relative to the breast mass. If the nipple-areola complex is too low relative to the implant, the nipple appears to be pointing south. In both cases the situation can be... more

Ricardo Rodriguez, MD
Baltimore Plastic Surgeon

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Saggy appearance after breast augmentation

If one is saggy to begin with, the placement of a breast implant on top of the muscle will cause further sagging as the added weight will stretch the skin out to a greater degree. If you are saggy and have an implant placed below the muscle, you will likely need some type of lift also to bring your own sagging breast tissue higher up on your ribcage so it will lie over the implant mound.

Julio Garcia, MD
Las Vegas Plastic Surgeon

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Protecting Implant Position

Sometimes breast implants can "bottom out" or change position. I put a great deal of effort into creating an enhanced breast profile that is natural-appearing, and I think it is absolutely critical to protect implant position postoperatively to ensure that the implants heal in the desired position. The implant pockets are made larger than the implants themselves, by design, so that the augmented breasts can move just like natural breasts do. We purchase a comfortable, custom-fit... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

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Saggy Breasts after Augmentation

The appearance of the breast after augmentation is related to the preoperative look. Therefore, augmentation of a sagging breast leads to a fuller, but still sagging breast. Some patients are fine with this. They can do their own lift with a great bra, and avoid the scars and expense of a surgical breast lift. Secondly, placing implants that are too large will create sagging over time. This is especially true of saline implants, which are about 20% heavier than silicone gel devices.... more

Eric Pugash, MD
Vancouver Plastic Surgeon

www.vancouvercosmeticsurgery.ca

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Why breast augmentation or enlargments with implants look saggy (ptotic) with no lift (mastopexy)?

Yes, this is true and an accurate observation.' The real problem is that many of the best breast lift techniques require multiple or lengthy scars. Becasue the healing of scars is unpredictable, many women elect to undergo a breast augmentation alone. However, to answer your question on greater detail, there are many factors that can make a breast look saggy (ptotic) and include looking at: location of the breast tissue on the chest wall location of the nipple & areola relative to the... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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Emphasize the look you desire during your consultation

You make a great point - with implants alone a saggy breast may just look like a larger saggy breast. Some women are perfectly satisfied with this look, however. If you choose to have an implant to give you more cleavage and upper pole fullness it is important that you explain to your surgeon that this is what you desire so a submuscular pocket can be developed to help maintain the position of the implant.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

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A breast lift was needed

Results after breast augmentations that apperar saggy come from two reasons. The first is that a breast lift with an augmentation should have been done rather than a breast augmentation alone. If breasts are sagging to begin with, adding an implant without doing a lift leads to a larger, sagging breast. Many women are leary of the scars from a breast lift, and either opt for an implant alone, or are advised to do this. Generally this is not a good way to go. The only way to lift a... more

David B. Reath, MD
Knoxville Plastic Surgeon

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Breast augmentation with a lift

Sometimes, a breast lift (mastopexy) may be necessary to lift the breasts when an augmentation is done simultaneously. It all depends on how much sagginess, or ptosis, is present before any surgery. A small amount of ptosis can be fixed with an augmentation alone. However, with increasing amounts of ptosis the complexity of the type of lift increases. The types of mastopexies include periareolar lift, vertical lift, and Wise pattern lift. Let your local plastic surgeon determine which... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

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"Saggy Breasts" Augmentation vs. Lift

The appearance of "saggy breasts" following augmentation can be attributed to what I think may be --- the wrong procedure for the wrong patient. This can be avoided by making sure you understand all of the surgical treatment options available to you. Your plastic surgeon needs to listen to your concerns carefully to be able to tailor an operation which will satisfy your expectations. Certainly, there are----the wrong procedures for the right patient. What I mean by this is simply,... more

Nick Masri, MD
Miami Plastic Surgeon

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Breast lift (mastopexy) for breast rejuvenation after pregnancy

Some of the photos you're describing may be of women who may have needed a breast lift (mastopexy) as well as an augmentation, and chose to only have the augmentation because they did not want the extra incisions of a lift. In these cases, the breasts may look just fine in a bra or swimsuit, but sag when not supported. The good news is that these patients still have the option of a lift and it can be done as a second procedure. Remember, while an implant alone will give some lift to... more

Shahram Salemy, MD
Seattle Plastic Surgeon

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Several factors should be analyzed for saggy breast augmentation results

Breast implants are devices intended to increase breast volume. If a patient started with a saggy breast an implant might help but the correct procedure is a breast lift. In some cases, sagging could be due to a very large implant with bottoming out. Hope that helps!

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

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Saggy breast implants

Perhaps, you are looking at pictures of very large implants, over the muscle, that may have been in place for several years. This scenario will cause saggy looking implants. The overwhelming majority of breast implants do maintain their shape and position giving longstanding excellent results. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

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Saggy breasts and breast augmentation

Breast augmentation primarily achieves an increase in breast volume. Although, to a small extent, implants can lift the breasts, many women need a breast lift in addition to breast augmentation. Depending on the patient's anatomy, this may be accomplished at the same time as breast augmentation, or may require a second surgery. The incisions also vary depending on the amount of sagginess, but the most common incisions are a small incision just around the areola to a "lollipop"... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

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Breast implants in saggy breasts.

Hi! 1) They still look saggy because breast augmentation alone was not the right operation. 2) Since your breasts are "very saggy", you need a combinaton breast augmentation and breast lift. 3) This combination will make your breasts perky, and only leaves a circular scar around your nipples, where the skin changes color. Don't be afraid of the scar, which fades. Most of our patients who do this are very happy.

George J. Beraka, MD
Manhattan Plastic Surgeon

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Breast augmentation and sagging

Some breasts that do not have good quality elastic properties can sag after having implants. The larger the implants, the heavier they are, the more likely they will sag. Many times a breast lift needs to be combined with implants for women that have had a few children or are getting older.

Steven Wallach, MD
Manhattan Plastic Surgeon

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Why some breast augmentation results appear saggy

Dear Sehmom03 , Your question: "I keep seeing pictures of after breast augmentation surgery and they still seem saggy. Why is this? Aren't the new ones supposed to stay up?" can be interpreted in 2 ways. 1. Why aren't ALL breast Augmentation results IMMEDIATELY fully perky without any descent?2. Aren't breast augmentation results supposed to REMAIN perky? Let's tackle number 1. If the proper implant is chosen by the patient and surgeon and the proper operation is done, the post... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

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Saggy Breast After Augmentation

It is important to look at the position of the nipple and breast tissue in relation to your inframammary fold (the crease under the breasts) to determine whether a breast lift will give you the best result. A breast augmentation will give your breasts a very small 'uplift', but if your breasts are saggy to begin with, then a breast lift will probably be needed to give you a more perky appearance. Some women do not want the scars necessary to perform a breast lift and therefore the... more

Louis DeLuca, MD
Palm Beach Plastic Surgeon

www.drlouisdeluca.com

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How plastic surgery helps breast sagginess

Shemom03: Patients with multiple pregnancies and weight loss are frequently in our offices wishing to improve breast appearance, and we have several ways to help. Implants can provide increased volume and projection, and improve upper pole fullness. Mastopexy (breast lift) can reduce sagginess, raise low nipples, shift gland higher on the chest wall, improve projection, and reduce loose skin. Combining lift and augmentation can give complimentary improvements. There are many reasons why... more

Sutton Graham II, MD
Greenville Plastic Surgeon

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Getting a lift with implants

Just one point of advice to add to the other comments: often when there is a little bit of sagging, and the patient says they don't want the scars from a breast lift, the decision is made to put the implants above the muscle and let then settle into the skin envelope. The problem is, this progresses over time to the "rock in a sock" look. There are cases where the breast is just deflated after breast feeding, so they look saggy but only need volume added back with implants, but... more

Richard Baxter, MD
Seattle Plastic Surgeon

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Saggy stays saggy

If you have saggy breasts and want a lift you usually need a mastopexy and may have to have implants inserted at the same time. If you are only a "little" saggy and want large implants, sometimes you do not need a lift. It all dependson weather your nipple is above or below the inframammary line -- talk to your doctor and have them explain it to you.

William B. Rosenblatt, MD
New York Plastic Surgeon

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They should have had a breast lift

The fact of the matter is that those women probably should have had a breast lift in addition to their breast augmentation. The conceept of placing a large volume implant to "lift" a breast, I feel, is a bad idea because in time that patient will have a saggy augmented breast. That is not to say that they can't then have a lift but I would prefer, personally, to perform both procedures at the same time if it is indicated. You will find though different opinions from different... more

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

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Women wear breast implants differently

Hello, Breast implants may come out of a box, but women wear breast implants differently depending upon their tissues. You can of course consider additional surgery (such as a breast lift) to put your implanted breasts in a more attractive position if the current state of affairs is not to your liking. See your surgeon and maybe look into this more.

John P. Di Saia, MD
Orange Plastic Surgeon

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Saggy breasts after augmentation

An augmentation adds volume to the breasts and in some cases can give a "relative" lift. However, if your breasts are sagging to begin with, and all you have done is an augmentation, you are going to end up with larger sagging breasts. Most women in your situation may need a lift in addition to the augmentation. This usually requires additional incisions and therefore scars. Some women may not want to have additional scars and therefore choose to only have an augmentation. Your... more

Albert Dabbah, MD
Boca Raton Plastic Surgeon

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Why Do Some Breast Augmentation Results Appear Saggy?