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Breast Lift with Very Small Implants to Change Shape and Not Size???

asked 1 year ago by tdskkenn in SD
Latest answer by Otto Joseph Placik, MD
Question viewed 427 times
Tags: sagging, lift

I had a breast reduction 6 years ago (best thing I ever did for myself). Two children later, my breasts are saggy and low. Is it possible to have a breast lift with small implants to simply change the shape of the breasts instead of trying to make them larger? I want round perky breasts, but not bigger breasts. I went from a DD to a mid-C for the reduction. I'd like to stay in the C-cup range. Thanks. (No more pregnancies in future...)

15 answers to Breast Lift with Very Small Implants to Change Shape and Not Size???

Options for Lift Without Increasing Size

Your question is a good one, which we encounter frequently in our practice. It is possible to lift and reshape the breast with breast lift, alone. You are right: we can use an implant to improve shape, particularly for more fullness in the upper pole of the breast. Depending upon the requirements of your anatomy, tissue elasticity, and aesthetic goals, use of an implant to provide adequate shape can be combined with removing some breast tissue to avoid excessively enlarging the... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

Lift and implants with slight reduction to alter shape and not size.

This seems like a reasonable plan and I just performed that procedure today on an individual with similar breast changes following massive weight loss. I perfromed a lift with very slight reduction and small implant to achieve a fuller rounder similar sized breast. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Fuller Breasts After a Breast Reduction

The key element to determine whether you need a lift or implants or both is dependent on the position of your nipples. In general, if your nipples are above your inframammary fold, you can usually just perform saline or silicone implants below the pectoralis muscle alone . This is quite safe and will give you the fullness you desire. However, if you have true breast ptosis, whereby your nipples are below your inframammary fold,... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

How to determine if volume is needed with your breast lift

If your sagging deflated breasts fill a bra that defines your desired figure, then a lift is all you need. The careful removal of excess skin only will not reduce your volume significantly. If there is a desire for more cleavage or fullness in the bra, then consider the extra volume provided by a small implant. Beware of the surgeon who offers a breast tissue "reduction" combined with an implant which is really a net gain of zero, but with... more

Randy Wong, MD
Honolulu Plastic Surgeon

Breast lift with small implants- good combination

Yes, it is understandable that you want a better shape with out a significant change in size. A lift of the breast elevates the breast tissue to a nice shape but it does reduce the breast a little or as much as a half cup if there is a large skin component removed. Implants provide the missing volume and give superior fullness where it is usually needed. So you get a great shape and maintain size. It is a more difficult surgery so try to find a plastic surgeon who is... more

Sheila Bond, MD
Montclair Plastic Surgeon

Breast Lift and Small Augmentation after Reduction

Yes it is certainly reasonable to have a lift and a small augmentation to improve your breast shape. The most important step you can take would be to either obtain the surgical record for the surgeon who performed the breast reduction or return to him or her for your lift and augmentation. How the breast reduction was performed is important information to help assure the health of the nipple-areolar complex for your subsequent surgery. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Elevate and change shape

Sure. Small implants are used (low profile) to fill the upper pole. your end result can be close to your preop cup size, but with a rounder, fuller appearance.

David A. Lickstein, MD
Miami Plastic Surgeon

Breast lift after breast reduction

You can have a mastopexy (breast lift) after reduction mammaplasty. A mastopexy will not change the size (volume) of the breasts, but will lift them. You will be at increased risk of postoperative complications, including tissue loss because your previous surgery has altered the blood supply to your breasts. ideally, discuss this with the plastic surgeon who did your original reduction, or if that is not possible get a copy of your operative report so your surgeon will know what... more

Jack Peterson, MD
Topeka Plastic Surgeon

Breast Lift with Very Small Implants to Change Shape and Not Size???

Yes that can be accomplished. But please be careful because the vascular supply to the nipple/areolar changes after a previous reduction. You need a true expert boarded plastic surgeon to do your surgery. I say this because I'm reconstructing a complete loss of a nipple/areolar from a non plastic surgeon doing just that operation. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Good breast lift does not need implants.

Hi. Using your existing scars, you can get perky shape with just a breast lift. Or small implants can be used at the same time to make you a little fuller. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Lift with Very Small Implants to Change Shape, Not Size

This is a very doable procedure. The implants would generally add superior fullness and more roundness. However, if you are still happy with the size of your breasts (i.e., you have not lost volume from the pregnancy), mastopexy (lift) alone may be adequate. Make sure your surgeon has significant experience with breast lifts.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breasts saggy after Pregnancy - Breast Augmentation or Breast Lift

You have several options for your breast surgery. A breast lift can be performed to lift the breast without an implant and to maintain your current size. If you wish to have more volume in the upper pole of your breasts, then a breast lift with small breast implant maybe a better alternative. A third options would be autoaugmentation, where your own breast tissue is used to create an implant like look (i.e. perkier) breasts. The scarring is generally larger with the latter option, so you... more

Ankit Desai, MD
Jacksonville Plastic Surgeon

Breast lift with or without implants

If you want a breast lift without an increase in volume then a breast lift ( mastopexy) is sufficient. However the breast lift alone does not always fill the upper part of the breast and for that a small implant is used.

Dana Khuthaila, MD
New York Plastic Surgeon

Changing shape of breasts

If you do not want to be larger then you should not have implants placed. If you want the breasts lifted and the skin envelope tightened, a breast lift may be the solution.

Steven Wallach, MD
Manhattan Plastic Surgeon

Implants for shape, not size

The short answer, without examining you, is yes. You can change the shape of the breast without changing the size. This might require a combination of reduction, lift, and augmentation. What you specific will require cannot be determined without an examination. What will also probably change is the consistency or density of your breasts.