79%

949 reviews

Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings

Breast Implants Cost ≈ $6,600 average cost

Write a review | Ask a Question

Breast Implant for Uneven and Saggy Breasts?

I am almost 59 years old, 5'7", weight 140. Fairly good figure, just saggy, with small, uneven breasts. I would like to look good naked! First thought I would get saline implants, but after talking with others who have had implants and doing some research, am wondering about silicone. Would this help resolve the size issue, and the droopiness?

Asked 36 months ago by cielo in Tyler, TX

Tags:

Many variables to breast enhancement recommendations

Cielo, There are many variables that are taken into account when making a recommendation for breast enhancement surgery. It really requires a face to face evaluation with a board certified plastic surgeon to determine what these variables are. It may be helpful to obtain information and opinions from other patients that have had breast surgery, as you have done. But remember, NO ONE is YOU. Your specific body/breast characteristics are yours alone and only a consultation with a plastic... more

Doctor's Website

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast Augmentation - Saline or Silicone

Most surgeons agree that silicone gel breast implants, in general, tend to feel more natural than saline breast implants. However, the degree to which this difference is significant varies a great deal with regard to two issues: the amount of breast tissue that exists prior to augmentation, and the size of the implant that is used. The more natural feel of a silicone gel implant will be much more important to patients who are slender and fit in an A cup bra preoperatively, as they have less... more

Doctor's Website

Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Many different choices for saggy uneven breasts

Dear Cielo, When you describe sagging, it sounds like you will need a lift as well as the implants. The incisions and implants can be chosen in a way to lift up the breast, remove excess skin and fill them out in way that can make them much more equal in appearance. This can be accomplished with saline or silicone implants, but the silicone implants have a more natural feel. It is extremely important to seek out a board certified plastic surgeon to go over all of these possibilities with... more

Shain A. Cuber, MD

Marlboro Plastic Surgeon

ASPS

Breast lift and silicone implants may be best

I would agree with most of the previous answers. Clearly, you need an evaluation by a qualified Plastic Surgeon. When the skin thins and the breast tissue becomes ptotic or droopy, a lift is not satisfactory. An augmentation with a silicone implant recreates the fullness of the breast. It provides a structure to rebuild a natural-shaped breast. Once the silicone implant is in place behind the muscle, the lift can occur to reconstruct the breast shape you desire. You will have more scarring... more

David A. Dreyfuss, MD

Chicago Plastic Surgeon

ASPS

You really need a consultation

You really need to go to a plastic surgeon for a consultation. If you have droopy breasts, then you may actually need a breast lift as well as implants. If you provide a picture, we may be able to give you more specific advice.

David Shafer, MD

New York Plastic Surgeon

ASPS

Go to the best breast plastic surgeon in your area

Yours will not be as simple a procedure as a breast augmentation in a 25 year old with excellent breast form already. You may well need a combined lift and augmentation and there are many ways to do this depending on your personal starting point as well as the experience of the surgeon. The implant adds volume and does not lift you. Whether you choose saline or gel depends only on how much the feel matters to you with the "feel" preference going to gel. Meet with a few well qualified... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Evaluation first key to addressing sagging breasts

Asymmetry of the breast is actually the norm. Very few, if any women, have perfectly shaped and symmetrical breasts. It is only an issue if the asymmetry is large enough to be noticed, and cause the woman concern. Otherwise, it is not of medical concern. Sagging, droopiness, or ptosis can be caused by a couple of things, and each will be treated differently. If the nipple has dropped below the crease where the underwire of the bra would sit, it is likely that you would need a breast lift.... more

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

The right operation is really more important than which implant you use.

To cielo, Hi! In general, I recommend Mentor round smooth walled silicone gel implants (either moderate PLUS profile or high profile) for most patients. They tend to look and feel more natural, and they are safe. But saline implants can give fine results also for women who are afraid of silicone. The more important question for you is what exactly is the best operation? You may need a combination lift-augmentation with different size implants for each breast. And then there are two... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Silicone Implants are better

The US is just now emerging from an FDA imposed "Dark Ages" of breast surgery. In the real world (not the USA), saline implants only represent about 5% of the breast surgery. Saline Implants are less expensive by about $1,000, and must be used under the muscle to avoid severe wrinkles, However, under the muscle placement will cause the implants to set about three finger breadths apart, and can cause visible movement of the breast with arm motion. Saline implants can be used for... more

Donald Kress, MD

Frederick Plastic Surgeon

ASAPS ASPS

Breast implants require compromises

There is no perfect operation for the breasts when using implants. Each type, size, and style of implants have diferent side effects, characteristics and risks. In general, the more your final breast size is composed of the implants, the more it will reflect the characteristics of the implant. For this reason, the most natural feel will usually require silicone implants with their attendant risks. If your breasts are uneven in size, you might consider improving the symmetry with an... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Breast lift may be best for uneven sagging breasts

The answer may not be in the choice between silicone and saline implants. It sounds like you might benefit from a breast lift and shaping (mastopexy) either with or without implants.

Barry H. Dolich, MD

Bronx Plastic Surgeon

ASAPS ASPS

Surgical procedure more important than implant type

If your breasts are saggy you may need a lift at the same time. Silicone is a better implant for thinner tissue because it feels more natural. The asymmetry should not be a problem. Most women are uneven when they first come in. See a Board Certified Plastic Surgeon and he or she will be able to give you more complete answers that apply to yourself.

Doctor's Website

William H. Huffaker, MD

Saint Louis Plastic Surgeon

ASAPS ASPS

Breast lift and silicone implant will help with sagging

It seems that you will need a breast lift as well to address the saggy portion of your complaint. In general, silicone implant will give you a more natural result. A clinical exam with a board certified plastic surgeon will be determine the amount of breast ptosis and the size of implant to use to give you the best shape. Hope that helps!

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Saggy breasts and implants

It would be very hard to give you definitive advice without examining you. You may need a small lift with the implants to give you the shape and lift that you want. Sometimes and implant is all that you need, other times a small areola lift with implants, and still other times a formal lift may need to be performed.