Please Help ( Breast Lift)

I've had my two lovely children but my breasts have sagged miserably. I wear a 38D bra. Please ADVISE ON THE FF: Can I have a lift alone without implants? Will silicone or saline be preferably? Will scars show more on black skin? Finally, what kind of lift will be the best for a youthful and natural look

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breasts 38D D cup sagging scar African American female saline implants silicone implant

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15 Doctor Answers | Asked by sieze in Newyork

Doctor Answers (15)
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Breast lift with reduction will benefit large, sagging breasts

Hi Sieze, Thanks for providing the photo. You would benefit from a reduction, which will also lift the breast. You can discuss with your surgeon on how much volume will be removed. If you have only a lift, the breast will be too heavy to support the lift, and the breasts will sag again. I know that size is not your concern, but a small to medium reduction is needed to get the result you want. You absolutely do not need an implant. your own breast... more

Breast lift/ breast reduction

Thank you for the question about what may be best for you and your shape. You clearly are concerned about future sagging, and with this thought in mind I would believe that a breast reduction would be necessary and appropriate. This reduction would also allow the surgeon to balance the size of your breasts. It would appear that your right breast is smaller than your left breast, and this should be corrected during the lift/reduction. By the way, you don't need... more

Breast lifting and augmentation simultaneously?

I think you may be a good candidate for a 2 staged procedure. The 1st stage a breast reduction will place the breasts in a better position on the chest wall. The second procedure will augment the breasts and create the look that you are trying to achieve. This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a... more

Breast Lift, with or without breast implants?

Breast lifts can be performed with or without breast implants. It depends on your goals. If you are satisfied with the size of your breasts, then a breast lift alone will be a reasonable choice. You are correct when you are concerned about scars, because darker pigmented skin is more prone to problem scarring. For you personally, one clue is how any scars you have now look. If you have bad scars, then a bad scar is more likely for you.

PHOTO: Breast lift and reduction SEE VIDEO BELOW:

Darker skinned individuals do have a higher tendency and risk for hyperpgimented or keloid scars. I would likely recommend a vertical and horizontal lift with slight reduction as well avoiding use of an implant at the first stage. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Lift/Reduction

It appears that a small reduction and lift could be achieved without implants. Concerning the incisions on people of color, if you do not for keloids then the incisions heal very nicely in people of color. Good Luck Dr. ES

Breast lift with and without implants

Breast lift may be performed with or without breast augmentation, and the results are quite different for the two procedures. There are numerous issues involved with choosing saline versus silicone implants, but either may be used in conjunction with a lift. A limited incision breast lift would be possible in your case, allowing repositioning of the nipple and breast tissue higher. Scarring in pigmented skin may be more pronounced, but there are treatment options to minimize the appearance... more

Left or aug/lift

From your photos it looks like you can probably have a lift without implants. With darker skin , the scars may appear darker, but it really varies for each individual.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift VS Breast Reduction

Regarding: "I wear a 38D bra. Please ADVISE ON THE FF: Can I have a lift alone without implants? Will silicone or saline be preferably? Will scars show more on black skin? Finally, what kind of lift will be the best for a youthful and natural look" In my opinion, you would look better with smaller breasts. Moreover, the result of the surgery and perkiness would last a lot longer with smaller breasts than with your current volume, or worse yet, augmented breasts. Can I... more

Breast Lift

Thanks for the photo. I would do a full inverted T lift or "anchor" lift. And yes there can be scars. I do not feel you need or are a candidate for imp;ants also. Seek in person opinions. From MIAMI Dr. B