Is breast lift the only option for sagging breasts?

I am considering a breast augmentation. I have always been a decent C cup, but in the last year, I have lost approx. 35 lbs, and it has left my breasts deflated and saggy. I have consulted 2 plastic surgeons who insist i need a lift as well. I really don't want the extra scarring. Is there any way to achieve a good look without doing a lift as well?

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13 answers to “Is breast lift the only option for...”

A: Mastopexy scars will not suit everyone

Peter E. Johnson, MD

The mastopexy scar is the number one tradeoff to consider. After all, we have a goal to create a pert well shaped breast which is pleasing bare, or in the nude. The bra is the great equalizer though you may not always want the full cover of one, and the scar may make you feel uncomfortable without. Breast... more

A: Lift vs. implant

Brent Moelleken, MD

It can be very tricky for the patient to judge beforehand if a lift is necessary. There are some women whose breasts appear terribly saggy, but an implant alone can help them.  This is especially the case for patients who are thin and have had loss of breast tissue after breast feeding.  There... more

A: Visual method to determine if you need a breast lift

Jeffrey Zwiren, MD

 I have a relatively simple system for determining if you need a lift.  Breast sagging can be categorized into three groups stand in front of a mirror and see which group best describes yourself  Group 1:  I can see the bottom of my areola and a rim of non-pigmented breast skin from the... more

A: A simple test will give you your answer

A. Peter Salas, MD

Dear SLP, Many women share your concerns regarding their breasts. The ideal situation would be to improve the shape and size without any scars. However, if you don't like the location of your nipple, the only way to move it to a better location would be to make an incision around it. The way to determine if... more

A: Get the lift if you care about your shape

Richard P. Rand, MD

Nobody wants to have scars but they DO want the best shape they can get.  This only comes from having a lift done if your nipples have sagged down to the level of the crease below the breast or are below it or are pointing down.  Unfortunately, there is just no way around what mother nature has... more

A: You definitely need a lift, but it can be a minimal scar breast lift.

George J. Beraka, MD

Hi!  Some of the most common bad results that I see are in women who tried to get their sagging breasts corrected just with implants.  So I urge you not to do that. 1)  You probably need a "donut" lift that leaves you only with a circular scar around your nipples, together with... more

A: Maybe on the horizon

Kenneth R. Francis, MD

SLP, You have had two plastic surgery consultants insist that you need a lift.  It is not likely that a third will say any different.  However, one option may be to go larger with the implant and place it over the muscle.  This gives more of a lift effect to the breast, but is contingent on you... more

A: You have had two independent examinations and the answer is..

Scott E. Kasden, MD

No one likes scars, especially on breasts.  If both doctors are board certified plastic surgeons, and experienced, you already have your answer.  On the other hand, it is always possible to go ahead and get your inplants and see how they look.  If you are not happy with the result, get the lift... more

A: The remedy for sagging breasts

Barry H. Dolich, MD

It sounds as if your your "skin brassiere" is too large in relation to the amount of gland within it. This causes the breast to fall. Additionally, the fibrous ligaments within the gland no longer maintain tension between the skin and chest fascia. A lift (Mastopexy) is the best way to restore these... more

A: Very common concern.

Leslie H. Stevens, MD

This response is taken from my website:   There are many reasons why women seek a consultation regarding their breasts with a plastic surgeon. Some simply want a larger bust line while others are only looking for more fullness or a perkier shape. Not everyone is a candidate for breast implants nor does... more

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