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What Breast Lift is Recommended if You Already Have an Augmentation?

asked 11 months ago by april85 in Phoenix, AZ
Latest answer by Tom J. Pousti, MD
Question viewed 308 times
Tags: sagging, 450-499cc, multiple

i am 26 years old, 136 pounds, and 5'2" with a 450cc breast augment. my breasts just seem too saggy and i am unhappy with them. i want a lift to perk them up and would like to know what lift would be recommended.

15 answers to What Breast Lift is Recommended if You Already Have an Augmentation?

+1

Breast lift after augmentation?

Thank you for the question. Specific advice will depend on your in person examination. The more breast ptosis (drooping) the more extensive the breast lift that will be required. One piece of advice I would give you: your 1st concern should be obtaining the best results possible (scarring concerns should be secondary). Most patients undergoing this procedure will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Breast lift after augmentation is a common procedure

Seek out a good board certified plastic surgeon with breast lift experience - without photos or an exam its impossible to give you specific recommendations - but if you perceive your entire breast to be 'saggy', you may want to consider a vertical breast lift technique. A peri-areolar breast lift tends to flatten breast projection and does not correct sagging breast tissue.
Scott Sattler, MD

Bellevue Plastic Surgeon
+1

Nipple position is not improved by breast augmentation

Sagging with low nipple position on the breast mound is not improved with breast augmentation. Depending on the degree of descent of your nipple a breast lift may offer improvement to your breast appearance.
Chen Lee, MD

Montreal Plastic Surgeon
+1

Breast lift after augmentation

Breast lifts are the answer only if you fail "the pencil test". Put a pencil horizontally under breast fold, if your nipple/areolla is bellow the horizon of the pencil; get a lift (any kind of lift). If it is above it (like a sun rising above the horizon) don't get a lift. If it is right on the horizon you may consider a "natural breast lift" where fat is used as a graft to fill up the upper pole, not the lower pole since it has been augmented... more
Ayman Hakki, MD

Washington Plastic Surgeon
+1

Breast lift

Without photos it is difficult to tell; however, a breast lift sounds as thought it is the procedure of choice for you.
Shahin Javaheri, MD

San Francisco Plastic Surgeon
+1

Vertical mastopexy after a breast augmentation

If you have loose skin or a low nipple position after breast augmentation you may need a vertical mastopexy (lollipop incision). You may also consider decreasing the size of your breast implants at the same time as this may be contributing to the sagging shape of your breasts. This is difficult to answer without seeing photos so I recommend consulting with a board certified plastic surgeon for a complete evaluation. Best wishes, Dr.Bruno
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

Vertical breast lift with lollipop scars best for most women.

Hi, Here is what I would tell you without seeing you: 1) Change breast implants to somewhat smaller size (maybe 350 cc's). 2) For minimal sagging, an internal scarless breast lift can work. 3) For slight sagging, a "doughtnut" breast lift, with just a circular scar around the nipples is good. 4) For a lot of sagging, the vertical breast lift is best. 5) You never need the old fashioned anchor shaped scars for a lift. more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Breast lift and breast implants

There are many different ways to perform a breastlift and even more minor variations of those ways. What is effective in one patient will not be so effective in another. As you have found out if you see 10 different plastic surgeons you will get 10 different answers as to what type of breast lift should be performed. The aesthetic goal in breast surgery (augmentation, reduction and lift) is nipples that are 20cm from the notch on top of the breast bone, 11cm from the midline and 7cm from... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

What TYPE of Breast Lift is Best for Sagging Augmented Breasts?

There is NO one "best" Breast Lift method which is magically applicable to every single sagging augmented breast out there. In the absence of being able to examine you or being provided your Before and After Breast photograph no ethical Plastic surgeon can really answer your question truthfully, IN GENERAL, if you were augmented with 450cc breast implants, it would be safe to assume that these implants bear some responsibility for the sagging of the breasts and some... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Breast lift options

A breast augmentation doesn't lift the breasts so you might need a periareolar lift or a full lift depending on what you look like and where your nipples are relative to the crease below the breasts.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Breast lift

Depending upon the position of your areola, and the laxity of the tissues will determine the best type of lift for you. This could be as little as a circumareola lift, or a vertical lift or even an inverted "T" approach.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

What type of breast lift

You have relatively large implants and still feel that you are saggy, so you would be correct in assuming that you need a breast lift (rather than just larger implants that will stretch your skin more and not solve the basic problem!). The type of breast lift needed depends on where your nipple is in relation to the level of your inframammary crease (the crease below your breast), how much overhang you have of breast tissue below the level of that crease, how loose the skin is, etc. The... more
Robert M. Grenley, MD

Seattle Plastic Surgeon
+1

What Breast Lift is Recommended if You Already Have an Augmentation?

Let's see No photos posted so very hard to advise. Which type of lift? Humm. Just a guess could it be a donut lift, not sure. Maybe a L-shaped or a full lift. Please post a frontal photo so we can help you.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast lift after having a breast augmentation with implants?

With time, pregnancies, and changes in weight, the breasts tend to droop or sag. This breast ptosis can be corrected with various techniques of mastopexy, including a circumareolar or donut lift, a vertical lift, or a traditional inverted T lift. These techniques can be used even if there is already an implant in place. The donut lift will provide the least amount of lift, usually 2 cm or 1 inch. The inverted T mastopexy will provide more perkiness and upper pole fullness. A full... more
Frank Agullo, MD

El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

+1

Depends upon the "droopiness"

Hello, The implant size is not so important although bigger tends to make the lift not last as long ....gravity wins out. The type of lift really depends upon exactly how droopy you are and what you want done about it. Lesser scar lifts tend to lift less, but some women will only tolerate certain scar patterns. You need to be examined to figure this one out. Best Regards, John Di Saia MD
John P. Di Saia, MD

Orange Plastic Surgeon

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