Breast Reduction: Q&A

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Breast Stretch Marks and Thin Skin: What's Best for Firmer Perkier Breasts?

Breast Lift, Breast Reduction, Small Implant to Add Volume? What's Best for Me? I'm 22 5'5 and am a 36F. Ive had large breasts since i was 12.The skin above my nipple has stretch marks-when i lay down my breasts almost look wrinkly. And i can literally pull the skin away from my breast tissue because it is so thin.Idealy i would love to be a large C. Im afraid of getting a reduction though.I feel as though they would look better the way they are then having the scars. Is a lift possible for me to have firmer perkier breasts? I want the firmness and shape that implants have

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8 Doctor Answers | Asked by sarah401 in Rhode Island

Doctor Answers (8)
Community Comments (2)

Breast lift and/or reduction with loose skin

Unfortunately, your history of extreme skin laxity places you at higher risk for recurrent ptosis (sagging). A breast lift alone with long term support (night and day) would help to reduce the volume and reposition the nipple. However, you would have to trade these benefits for the scar.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Naturally large breasts are not always ideal

Many women who are naturally large busted exhibit all the findings you have listed: stretch marks, wrinkly breasts, dissociation of the breast skin from the breast. Your photo shows that the distance between your collar bones and nipples is long and your volume is low on the chest wall. At the present, there is no technology which can provide either retexturizing (elimination of stretch marks, wrinkles) and/or nonsurgically tighten skin to make the skin brassiere tight and... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Perkier breasts

With poor quality skin at such a young age, an implant may only weigh you down some more. You may be better off with just having a breast llift with the tissue you already have. Hard to say without an exam.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast reduction and augmentation are best for firmer perkier breasts

Your best option for firmer, perkier breasts is a reduction with an implant to add upper pole firmness. The reduction removes excess skin and lifts the nipple and breast but does leave scars. Augmentation alone won't lift your breasts and would ultimately worsen the situation. As Dr. Blinski states, you may not be ready for the procedure so be sure before you decide.

Breast Stretch Marks and Thin Skin

Thanks for the photo. I agree the trade off for smaller perkier breasts are breasts with the anchor scar. You seem not to be ready for any scars so keep what you have, I have no issue with that. From MIAMI DR. B

Breast Lift with a Short Scar Technique

Regarding: " Breast Stretch Marks and Thin Skin: What's Best for Firmer Perkier Breasts? Breast Lift, Breast Reduction, Small Implant to Add Volume? What's Best for Me? I'm 22 5'5 and am a 36F. Ive had large breasts since i was 12.The skin above my nipple has stretch marks-when i lay down my breasts almost look wrinkly. And i can literally pull the skin away from my breast tissue because it is so thin.Idealy i would love to be a large C. Im afraid of getting a... more

There are no 'best' answers to your question...

And instead you need to ask yourself what risks and costs are you willing to accept in pursuing your goals. You should discuss your options thoroughly with your plastic surgeon and options include a mastopexy using your own tissues to augment the deficient upper poles, a Rubin mastopexy, a limited reduction and even a reduction with augmentation if you are not averse to using implants. Once you get informed, then you can make the best decision for yourself.

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Purkey breasts in the large breasted patient.

Hello, thank you for your inquiry for your photograph. Nothing is more challenging than making a large natural breast perkier. From the looks of your photograph you have a generous amount of natural breast tissue. Natural breast tissue always responds to gravity and wants to go south. From what you describe it sounds like your skin is somewhat thin and unsupportive as well. Again, based solely upon your photographs if you were to lift these heavy breasts... more

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Comments (2)

amberojo 2 Apr 2013

I have a similar problem, large hanging breast, loss of volume and I do not like the look of reduction scars (anchor specifically). Last night, I came across doctor Gary Horndeski's procedure called The Ultimate Breast Lift, which seems like a great option for large, heavy breasted women. Check out his pics and I wish you all the best. I will be making a trip to Texas to see if he can help me in the near future :)

Bridgitte 22 Aug 2012

Hi
I'm so happy you posted this question and photo. You see, my breasts are just like yours. I'm 5'4, 130lbs, and a 34C/D. I'm also 22. I have no volume on my chest wall and inches of extra skin that look like wrinkles when I lie down. My breasts disappear into my armpits when I lie down, too. I too do not want to sacrifice my scarless skin for perkier breasts after surgery. I look at your photo, though, and I think your breasts are beautiful. Much more beautiful than any surgery could possibly turn out. My best advice for both of us is to learn to love our breasts the way they are. All women have differently shaped breasts. Some are closer to what we consider perfection from a mathematical, proportional standpoint, but no one is this kind of perfect and therefore no one can command this perfection from anyone else. What you are now is already perfect. I wish you the best of luck.

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