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Breast Implant Options for Saggy Breasts Without Breast Lift?

Hello, I'm considering Breast Implants without doing a Breast Lift. And wanted to know the alternatives/options for women with saggy breast that wish NOT to perform a breast lift. I'm looking to achieve a full D maybe BABY DD look.

I'm a 34 full saggy B/C. My breast width is a 12", I'm 5'7", 138lbs, rib cage 29". I'm interested in silicone. Should women in my situation go mod+ or HP(High Profile) for the upper fullness & do saggy breast women have to go higher in CC to fill out the breast?

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breasts C cup D cup DD cup sagging female 5 ft 4 in to 5 ft 7 in 130-149 lbs B cup full high profile moderate

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18 Doctor Answers | Asked by infoseeker26 in NY

Doctor Answers (18)
Community Comments (1)

Saggy Breasts Need a Lift-Implants Alone Will Not Look Good

Thank you for your question. From your photos you have Breast Ptosis-your Nipple Areola id below the crease under your breast. Breast Implants alone will make the sagging look worse. See an experienced Board Certified Plastic Surgeon and consider a breast lift with or without implants.

Breast implants without a lift

Women with sagging breasts who do not want a lift, do require a large implant to fill out the breast. A high profile implant will look like someone put a ball in your breast. The implant needs to be a mod or a lo profile implant. An augmentation without a lift will create a larger sagging breast. It provides a minimal amount of lifting, and is not a substitute for a formal lift. It can be used successfully in someone with a little droop,... more

Implants Without a Lift to Correct Excessive Sagging Will Be "UGLY"

Hello back to you! A picture speaks a thousand words....your photo indicates your nipple level is well below your infra-mammary fold (IMF) level. As plastic surgeons, we know that the surgical treatment of that problem is NOT an implant, but a lift. An implant alone, no matter how large, will result in a deformity called "double bubble'' or "Snoopy nose", i.e., you will have the mound of the implant where the breast should be positioned, and your own... more

Breast aug or lift

I would not recommend breast augmentation without a breast lift in your case. You will certainly be disappointed if you do not have a lift.

Breast lift is your best option.

SEE VIDEO OF PATIENT WITH MASTOPEXY (BREAST LIFT)Your breasts appear to demonstrate grade 3 ptosis with large nipple-areolar-complexes. The best solution is to undergo a mastopexy with downsizing of the areolae and lower pole volume reduction and/or transposition of lower pole redundancy to the upper pole. see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast implants correct only slight sagging.

Hi! 1) About 2 or 3 times a year, we see a woman just like you, and we turn her away. They often come back several months later, literally crying, saying : " Oh, doctor, you were so right, I should have listened to you, look at me, I am all deformed, can you please try to fix them." 2) You will always find someone who will tell you what you want to hear and who will take your money. Don't do it. 3) Women accept the breast lift scars (lollipop) very well if they love the... more

You need a breast lift

Breast Implants will only make your problem worse. You would need huge implants and then you would still be saggy. The rule is, if your nipple is below the infrmammary line then your breasts are ptotic (droopy) and only a lift will help.

Severe Breast Sagging Requires a Lift - NOT large Breast Implants

I completely agree with Dr. Soto. Your degree of breast droopiness requires a Breast Lift (Mastopexy) for improvement. Trying to get around this by putting in a huge breast implant will NEVER give you upper pole fullness but WILL result in more skin stretching and more breast drooping under the weight which eventually will require a more challenging breast lift.

Breast augmentation without lift

Hi Infoseeker, In general, the larger the implant, the more lifting effect you achieve. So yes, if you place a large enough implant, you won't need a lift. The only way to tell how large the implant should be is to have a physical exam. There are many factors that a surgeon takes into consideration when deciding breast implant size (i.e. amount of native breast tissue, nipple position relative to inframammary fold, breast diameter, skin quality, etc). One option for people such as... more

Can sagging breasts achieve a more attractive shape and position without a breast lift?

Hi there- I wish I could tell you what you want to hear... but I can't... Judging from your photo, there is no technique or implant that would give you a pleasing, round, and perky shape without a breast lift. Variables such as the implant type and fill volume are going to affect the overall appearance of size you achieve, but will have much less of an affect on the shape and position of your breasts than the amount and quality of skin present. Given your current, significant degree of ptosis (s more

Lift for Best Result

Perhaps the biggest mistake made in cosmetic breast surgery is over augmenting saggy breasts that require a lift. Your nipples are below the level of the breast fold and a lift is required. Large implants without a lift will only produce more problems and you will be seeing another plastic surgeon as an unhappy patient requesting him to fix your breasts.

Don't do it!

I agree with these other surgeons. Implants without a lift will look worse! Don't do it. Dr Grant Stevens

Implant choices

First, I think that you need a lift even if you get implants. Choosing the right implants is something done in consultation.. You can do a baggy test or try sizers on to see how a specific volume fits in a bra for you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast implants without a lift will make matters worse

Breast implants can produce a satisfactory result if there is modest ptosis (sagging) present. For women who have fairly pronounced ptosis with the nipple at or below the inframammary crease (the crease below the breast), placing implants alone will give a very undesirable appearance with the breast tissue falling off the implants. You will be happiest with implants and a Breast lift. The cost is more and more incisions are required, but there is no other way to obtain the right shape.... more

Breast Implants without Lift for sagging breasts

Implants alone can sometimes provide a bit of breast lift in women whose nipples are above the inframammary fold. However, in your case, I feel that you will be very unhappy with implants alone. I feel that implants will accentuate your sagging and may even lead to a "snoopy-dog look". Augmentation and mastopexy are safer to perform as staged procedures. You can always have the augmentation with the awareness that a mastopexy will required later.

Saggy Breasts Without Breast Lift

While it’s true that breast implants add volume, the way your breasts are positioned isn’t going to allow much volume at the top of the breast, or upper pole, even with implants. In fact, implants will only exaggerate the low placement of your breasts. If you came to my practice for a consult, I would really recommend considering a lift in addition to augmentation. A lift plus augmentation will give you the high, full breasts that I believe to be your goal. Implants alone just... more

Implant size and cost

Although a single photo from the front is inadequate to make judgements, I do not think you will be happy with implants only. The implant looks best if centered behind the nipple. The implant will only come down as far as your fold behind the breast. In your case it looks like your nipple is below the fold, which means the implant will stay too high, and the breast will hang down off the implant, and not look natural. To check, put a pencil in the fold and stand in front of the mirror.... more

Lift with or without implants

Hi, based on your picture I can tell you that there is no way around a lift. you have a grade 3 ptosis (sagging) and an implant however big it is will not correct it. you will probably need a lift with or without implants depending on how big you want to go. please consult with a board certified plastic surgeon to learn more about these procedures before you make a decision.

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