Breast Implants - Options for Very Small Slightly Saggy Breasts

Hi there, I have very small (slightly saggy AA) breasts. I want to have breast implants (cup size C) but would like opinions on size etc. I really don't want to have a breast uplift - I hope its not necessary as I have only slight sagging. I have 3 children / breast fed my eldest but didn't with my youngest two (twins). Could you also please advise whether I would need an uplift? I really don't want one and to be honest don't feel I require it, nipples above crease etc. Thank you.Any information/advice would be greatly appreciated. Many thanks in advance.

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9 Doctor Answers | Asked by jc001 in california

Doctor Answers (9)
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Breast implant options

It does not appear that you will need a breast lift, as implants alone should fill out your breasts, and your breasts are not excessively hanging over and your nipples are indeed above the level of your inframammary crease. Be aware, however, that your breasts are far apart and will remain so, and your ribcage is tipped laterally, so this will affect the implant position and how they will face somewhat outward as your breasts face now. You should do well with silicone gel implants placed... more

Breast Augmentation vs Breast Lift

When the nipple is in a good position and the breast is deflated breast augmentation can be performed without a breast lift (mastopexy) procedure. In the deflated breast it is beneficial to place the implants beneath the muscle to reduce palpable, visible implant rippling.

Candidate for Breast augmentation/lift

Based on the photos you provided, you appear to be a good candidate for brest augmentation. I agree, a breast lift is not necessary. Clear communication with your plastic surgeon is important in achieving the desired goals of the patient. I like to communicate with patients with “goal” pictures. During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to predict the size of the implant... more

When is a lift needed with breast augmentation?

A breast lift (mastopexy) is recommended by plastic surgeons when the skin envelope is larger than the volume of the breast. If a lift is not done when indicated, extra skin may drape abnormally over the lower pole of the breast and the nipple may be too low on the breast mound. From your photographs, I am sure that a lift could be avoided if you chose a large enough implant. It would be a mistake to pick a size you are uncomfortable with simply to... more

Breast augmentation -getting it right the first time

YOur posted photos show flattened out breasts with nipples above the level of the under breast skin folds. There does not appear to be any excess skin so it is unlikely that you would need any lifting procedure. Since the upper half of the breasts has very little tissue an under the muscle position is probably your best bet even is you use silicone instead of saline. The breasts are not symmetric in shape so perfect symmetry after surgery is not possible. You should pick a breast implant... more

Breast lift or Augmentation

I agree with my colleagues, I do not think you will need a lift. I personally favor silicone gel implants placed under the muscle. Remember that implants only add volume and will not actually lift or significantly alter shape. Please discuss your options carefully with a board certified plastic surgeon. I believe you will be happy with your results.

Breast implants would improve your appearance

From your photos and your description of yourself, I believe that you would benefit from breast augmentation using either saline or silicone breast implants. I would recommend a fairly generous size in the order of 330 to 390 cc. I think that with the amount of sagging you have, you do not need a lift at this time. I recommend consulting a board certified plastic surgeon in your area. see video

Breast Implants Sizing

Although a in-person consultation is always necessary before making any strong recommendations, it appears as though a silicone implant (exact size to be determined) would best suit you. This would provide the most natural look and feel given that your breast skin and substance has been thinned out from the three pregnancies. Best of luck...RAS

Breast implant sizing is important

Based on your photos, I would recommend a breast augmentation using a silicone implant in the dual-plane position using an infra-mammary approach. Seek a board certified plastic surgeon for recommendations.