Iam considering having breast implants or a breast lift. I am 53 years old; small-framed with 36C breast size; weighing at 130 lbs. My breasts have lowered thru the years and I want a more youth look. I am not opposed to going a bit larger. Which is the best way to go?
Breast Implants or Lift for More Youthful Look?
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Lift and/or augmentation
If you need a lift, you need a lift. Implants can help give more volume but will not raise the breasts significantly.
Breast lift or aug
It sounds as though you should have a breast lift for sure. Your board - certified plastic surgeon can help you determine if you would also need/want a breast augmentation.
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A combination Breast Lift and Implant has a better result
Obviously, the exam and evaluation by a Board Certified Plastic Surgeon will get you the best answer. In general, a Lift combined with an augmentation will provide the best shape and long term results for Breast Surgery of the drooping and volume changed breast. The implant is placed behind the muscle and the lift redrapes the skin and breast tissue over that implant. A lift alone will provide improvement, but the lack of elasticity of the skin will allow droop sooner over time. The scarring is the same with each procedure, so the implant does have advantages.
Breast Lift maybe with implants
It really depends. Without seeing you I would lean toward a lift without implants, but much of this is decided with a patient during consultation depending upon her examination and her preferences.
Not either or situation
What needs to be evaluated is the relationship of the breast to the chest wall, and mostly, the position of the nipple to the crease where the underwire (inframammary fold). If the nipple falls below this point, you will likely need a lift, with or without implants.
You need to be examined to get the best answers for you.
Youthful looking breasts.
1) Without examining you, I would recommend a well performed breast lift without implants. With a C cup, you have enough volume, and breasts that are not too big age much better.
2) You probably need a lollipop scar. To get long term perky shape, you need an INTERNAL breast lift that does not rely on pulling the skin. Skin stretches, so one must not depend on skin tension for shape.
Breast Augmentation and Lift
With “lowered breasts” you generally need a Lift, or Mastopexy. To be “a bit larger” requires an Augmentation. Since the droop is secondary to the skin being larger than the amount of breast tissue you have, you can occasionally accomplish both goals with just the augmentation, if the size of the enlargement fills the skin envelope. Most frequently, however, the implant will not take up all the slack and you will need both. You can generally get an idea by examining yourself. If your nipples (in the center of the areolae) are at or below the inframammary crease (where the breast meets the chest) when standing, you will usually need a Lift also. The only way to tell for sure is with an examination by a board certified Plastic Surgeon.
Improving the look of your breasts
A lift and/or augmentation would be good options to address your concerns. A small implant can be placed in the breast if you want some added volume without the "augmented" look. A breast lift can be done in many different ways, depending on the severity of droopiness, or ptosis, of your breasts. A lift can be done around the areola only, around the areola with a small vertical incision, or around the areola with an anchor type incision. Talk with you plastic surgeon as to which one would benefit you the most. Good luck!
Breast lifts and implants for a youthful look
Generally, if your breasts have sagged a bit with time, implants alone will make them larger but not younger looking. If you need a lift because the nipples have descended, have one and look younger. Sometimes an implant will help with the lift to get the best final look.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.