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: 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: If you need a lift, you need a lift

Evan Sorokin, MD

Ladies never want a lift. They want an operation which fixes the shape of the breasts without the incisions of a lift. Unfortunately, when you are a C cup with sagging tissue, you need a lift. Two surgeons told you that you need a lift because you need a lift. If you find a surgeon (there are many out... 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

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: 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: Sounds like you will need a lift

Shahram Salemy, MD

 If anatomically you need a lift, then there is really no other way to achieve a good cosmetic result without one.  It is true that the cost of this is the scars, but in general they heal very well.  If you simply have implants placed without a lift, it usually looks quite unnatural, with extra... 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: 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: If there is too much skin in relation to volume, you need that skin removed

Francisco Canales, MD

You are to be congratulaed on the weight loss.  One unfortunate side effect is that some volume is lost and the breasts literally deflate.  One could conceivably put a large implant in, but many times this means giving someone a much larger size than they want in order to avoid scars.  In our... 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

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