Breast lift with or without implant is a good option for sagging breast

If your nipples have dropped down and you have loose skin, especially in the lower part of your breast, then surgery is the only option to make your breasts perky again. It is important to realize a breast lift alone will not give you fullness in the upper portion of your breast. A breast lift will only reposition your nipple to its youth-full position and tighten the loose skin. Almost all my patients want a perky and full breast. The only way to achieve that is with an implant and breast lift.

In certain cases, an implant alone may help if the nipple is at or slightly below the breast fold, and the amount of loose skin is minimal to non-existent. In these patients, an implant alone may alleviate the need for a breast lift.

There are two ways to lift a breast following pregnancy and nursing. The simple way is to just add a breast implant.This works well if the effect of pregnancy and lactation was a deflation of the breast with little ptosis. The second option is to perform a breast lift with or without an implant. Fat transfer to the breast for cosmetic reasons is still controversial.

With a sagging breast there are two possible conditions. The first is that there is not enough volume of breast tissue and the second is that there is too much skin. If there is just not enough breast tissue then the nipple will be at or above the point where the breast meets chest which is called the inframammary fold. In this case the deformity can be corrected by adding volume to the breast by placing an implant. If there is too much skin then the nipple will be below the inframammary fold. In this case the excess skin must be removed and this is called a breas lift or mastopexy.

Mastopexies can be performed by removing a ring of skin from outside the areola, the dark skin surrounding the nipple, if a smaller amount of skin must be removed and this leaves a scar just around the areola. If a larger amount of skin needs to be excised then there a number of patterns of excision are used the most common being the anchor pattern excision. Of course the skin excision lifts can be combined with implant placement if the patient desires a larger breast size from the procedure.

Unfortunately nothing you can do will truly lift your breasts aside from surgery.

Weight loss

and gain will make that sag look differently though, so you can try to vary your weight to see how the changes in your breasts go. If they look OK at a different weight, you might be OK to not proceed with surgery. You can also try different bras to make them look better although this will only affect your appearance when clothed of course.

Best Regards.