Breast Implant placement to correct asymmetry and sagging?

Over or under breast augmentation to correct asymmetry and sagging? Lift?

Breast Implant placement to correct asymmetry and sagging?
Sort: Date | Helpful
10 answers to “Breast Implant placement to correct...”

A: Breast Implants and a Lift

John P. Di Saia, MD

Hello, To address this properly you need implants as well as a breast lift in my opinion. From the looks of the other opinions, the other docs seem to agree.

A: Lift and augmentation

Steven Wallach, MD

You would definitely need a breast lift. If you want more volume, then an implant can be placed as well.  The implants is usually placed first and then the lift is performed over the implant.  You can have a great result.

A: Yours is more difficult than the usual situation

Richard P. Rand, MD

 You have a varaint of tubular breasts which are harder to fix than those that just need a simple lift and implant.  I personally would always place the implant under the muscle and then do the lift on your left side followed by the lift on your right side which is larger and needs tissue removed to... more

A: Augmentation Mastopexy

Christopher L. Hess, MD

I routinely do under the muscle to prevent capsular contracture.  If the mastopexy is done correctly then under the muscle is just fine.  I'm not a fan of over the muscle as I don't think it will improve on the result and adds the risk of capsular contracture.

A: Over or Under: advantages for breast asymmetry????

Otto Joseph Placik, MD

I frequently perform a combination of these two procedures to use the advantages of both. This is called the biplanar technique. I use the subglandular (over the muscle) technique to perform radial relaxing incisions and release the constricted breast parenchyma. I then place the implant under the muscle... more

A: Breast asymmetry and sagginess

Michael C. Edwards, MD

    Based only on what is seen in this photo, I think you would benefit from a sub-muscular breast augmentation and lift primarily on the right side but you could also have a peri-areolar lift on the left to decrease the areolar diameter and give a small lift. Your beasts, like many women, are... more

A: Over the muscle.

George J. Beraka, MD

Hi!   If you are just having a breast augmentation, the breast implants should definitely be placed over the muscle to improve shape and symmetry. In New York City, we would recommend a small breast lift as well.  The lift will give you better long term shape, and it will make your areolas... more

A: Above the muscle without question.

Robert T. Buchanan, MD

Whenever I wish to lift the breast, I always go over the muscle to release the entire breast and allow it to reposition. With some indication of tubular breast, it is especially important to release the undersurface of the breast and allow it to spread out over the chest, or, in your case, an implant. As far... more

A: Breast implant alone will not improve tubular breast appearance

Brooke R. Seckel, MD

The asymetry and tubular shape of the right breast and to a lessor degree the left require a lifting type of procedure to improve the shape of your breasts and improve symetry. Once this is achieved then an implant can be done to improve breast size and fullness. A two stage procedure using a soft tissue... more

A: Tubular or constricted breasts

Robin T.W. Yuan, MD

You have characteristics of tubular breasts with asymmetry and an enlarged areolar. Ideally, you would want to achieve symmetry and a more ideal shape with a lift of your and your surgeon's choosing (i.e. periareolar vs. vertical scar) and then decide on the augmentation of the lifted breasts. This could be... more

Post your question

Breast implants before & after photos

SPONSORED Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.