Breast Life or Subglandular With Too Much Sag (Age 24, 5'4, 145lbs)?

I am 24 years old and 5'4" 145lbs. I was told by my plastic surgeon that I have too much sag for submuscular placement but not enough to warrant a breast lift. He suggested subglandular placement and said I had more than ample breast tissue, however, I am a little hesitant after reading some negative things online about subglandular placement such as having a higher risk of bottoming out and capsular contracture. Do you think it will be better to just go for the lift or give subglandular a shot?

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11 Doctor Answers | Asked by misslakey0326

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Breast Augmentation with or without Breast lift

I agree with my colleagues, it is difficult to assess if you need a breast lift from your photos . However, remember that regardless of whether the implant is placed above or below the muscle, a breast augmentation without a breast lift will not elevate your nipples or make the breasts perkier. If you want the breasts to sit higher on your chest you would need to consider one of several types of breast lift. Best wishes.

Lift and implants

I often place implants below the muscle, and perform a dual plane approach. The lift depends upon what your breasts look like on exam. Hard to say from just the photo and the angle.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Implant Placement

Submammary and submuscular placement of breast implants may both be acceptable. However, there are several good reasons to consider submuscular placement: 1. Better support of the implant and less bottoming out of the implant over time as soft tissues stretch. 2. Mammography for breast cancer surveilance may be easier. 3. Probable lower incidence of capsule contracture. 4.Lower incidence of palpability or feeling of implant. When considering... more

Implants and lift means under muscle

It is not a good idea to place the implants in front of the pectoralis muscle if performing a breast lift because of the need to preserve blood supply. If a lift is performed in conjunction with breast implants the best results are obtained with the implants being placed under the muscle and the breast lifted to meet the implant position.

Breast Implant Positioning (Sub Muscular or Sub Glandular)?

Thank you for the question. It is not possible to give you precise advice without direct examination reviewing pictures. Generally, however I recommend sub muscular ( dual plane) breast augmentation and mastopexy surgery for patients who have breast hypoplasia/ptosis (sagging). This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the... more

Implant Position

Hello, Your doctor is giving you old and unsubstantiated information regarding subglandular placement of implants negating the need for a breast lift in women with slightly saggy breasts. As Dr. Rand has said, subglandular placement will create a 'dropped out' look to your breast once you have fully healed; any lifted appearance seen after subglandular placement is transient. Your best course is partial subpectoral placement with the most appropriate lift to achieve an... more

Breast Lift Or Subglandular Implants

There are several options open for patients that fit your description. But without a physical exam or at the very least a set of medical quality photos it would not be possible to give you a good answer for your particular case. Maybe you should see another 1-2 surgeons for consultation.

Submuscular vs subglandular breast implants??

First of all, ask any breast radiologist whether they would prefer breast implants to be over or under the muscle for mammographic breast cancer detection and they will say "Under!" Secondly, implants above the muscle do not lift the breast, they just sag into the breast enveolpe and if they are big enough, they make you look matronly and old. Doing a lift is your choice, but nothing other than the lift will give you a lifted look if your breast anatomy dictates the... more

Young Sagging Breasts - What Next?

I am not sure what the goals are with this patient. Let me try to help. Is the problem the shape (nipple position) or the size? If it is the shape, then a mastopexy (breast lift) is indicated. If it is the size, then an implant is the way to go. If it is both, then both procedures can be done at the same time. In the submuscular placement, the implants are cradled under the pectoralis muscle, and do not descend with age. If you are genetically programmed for sagging... more

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Implant or not

At 24 years old, your breasts are already too low. The added weight of the implant will cause further descent and subglandular implants have a higher rate of capsular contracture. Under NO circumstances should you have subglandular implants. However, you are a candidate for a breast lift. This can be done without a vertical scar and augmentation through a circumareola approach that would lift the nipple, the breast tissue and allow implant placement. If you do... more