Breat Augmentation Methodology Advantages and Disadvantages

asked 3 years ago by onebamalady in Alabama
Latest answer by Steven Wallach, MD
Question viewed 613 times

After losing 186 pounds, I have no breasts at all. I want something other than what I have now which slightly resembles loose socks with small balls in the toes hanging to just above my waist. I am wondering about the difference in implant procedures.I know of one method that involves cutting beneath the breast, removing the nipple, placing the implant & reattching the nipple.Recently I have heard about a procedure that goes in through an incision near the underarm area. What are the advantages and disadvantages in comparison and which would I benefit from the most?

11 answers to Breat Augmentation Methodology Advantages and Disadvantages

Massive weight loss and implants

With massive weight loss usually a combination of breast augmentation and a breast lift with tightening of the skin envelope is required.

Steven Wallach, MD
Manhattan Plastic Surgeon

You need a lift and augmentation

Losing the weight is great for you , but it does leave you with cosmetic problems. For what you describe, you most likely need a breast lift (anchor scar) and an implant. Make sure, you see and experience board certified plastic surgeon as this can be a difficult and tricky procedure. Some physicians two stage this and some do it at one operation. Beware of a trans-axillary augmentation, as it usually leaves you with a implant that is too high and your breast hanging down. You need to have... more

William B. Rosenblatt, MD
New York Plastic Surgeon

An augmentation with a lift is probably your best bet

Given your description, I think an augmentation with a breast lift, either as one or two procedures, is your best bet. I congratulate you on losing the weight-- that in and of itself is an incredible accomplishment, so now we need to get you looking and feeling your best. In most cases like yours, a breast lift will improve the shape of the breasts and an augmentation their size. This will usually require an anchor-pattern incision (incision around the areola, straight down the breast,... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Breast enhancement after weight loss

Onebamalady: Congratulations on your weight loss success. You will probably want to speak with several surgeons to plan for haw to address various areas that you may wish to improve. As far as your breast questions, I will say that you are probably going to want something more than "breast augmentation" alone. The most likely solution would be a two-stage procedure. Stage one would be mastopexy / breast lift in which a large amount of loose skin would be removed, your remaining... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Augmentation Mastopexy after Massive Weight loss

You have to distinguish between Breast Lift (mastopexy) and Breast Augmentation. The latter simply enlarges the breast while the former helps to restore the shape. It is very likely you will need a lift. Here are your options and the decisions you need to make: Do you want a lift and the resulting scars? This will reduce the extra skin and elevate the position of the nipple. Do you want to reduce the size of the breast? Do you want to enlarge the breast? IF YES: Do you want to do it with... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

You need a Breast Lift and its scar pattern

From your description of your breasts, you need a breast lift (mastopexy) and probably implants too. Your breast lift will require a scar around the nipple, down to the crease, and probably across the crease as well. I am sure if you talk to a Plastic Surgeon, he/she will be able to show you where the incisions/scars need to be.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

You need to get more education.

You have more going on than the appearance of the breasts, and so let me help with that. First, so you understand, I have a professional passion for treating massive weight loss patients (mwlp+. I congratulate you on your accomplishment- atta girl! If you lost the weight without surgery, that is incredible, and puts you in a different catetory than if you had a bypass. If you had the latter, my experience is that you are physiologically delicate, dehydrated, and malnourished as it... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

You may have limited options

Depending on how large an implant you may desire/require AND the amount of excess skin you have will detrmine options for implant placement. It sounds as if you would benefit mostly from an augmentation mastopexy(lift). This will increase the breast volume while removing the excess skin, while reshaping the breast mound into a more desired shape. With this appraoch, the implants are easilt placed through the skin incision patterns determined by the method chosen for the lift.... more

Michael S. Beckenstein, MD
Birmingham Plastic Surgeon

You probably refer to a transxaillary approach

Hello Congratulations on losing 186 pounds! Now that your weight is stable, removing the extra skin and reshaping your body is your next step. For breast enhancement after major weight loss, one has to remove a lot of the extra skin and reshape the breasts. Sometimes this also involves the addition of an implant. You refer to a procedure with an incision in the underarm. There are two possibilities: 1. an implant placed through an axiallary incision 2. a type of extnded breast lift... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

You will need a lift

Because of the excess skin, you will need a lift or shaping operation and this means a fair amount of scars around the nipple and on the breast. Techniques vary with individual surgeons as to how to move the nipple higher but removing is often a technique reserved for extreme cases of sagging or as a bail out procedure in the event of poor perfusion of blood using other techniques. Since you will have multiple incisions, an implant can easily be place through any of these incisions.... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Sounds like you need a breast lift

From what you describe, you most likely need a breast lift. If the breast hangs significantly like you are describing, simply placing an implant will not address your problem. Lifts require incisions on the front of the breast to remove loose skin and tighten/reposition the tissue.