Breast Augmentation: Q&A
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Breast Augmentation Only to Correct Sagging? (photo)
i've been told by a PS after measurements that my chest is 'low set', and a lift is going to make little difference to the position of my nipple. He suggested a teardrop implant with a 250cc implant OVER the muscle. He told me it would only increase my size by max. 1.5 cup sizes, but when i tried on the sizer it looked MASSIVE. I just want to know if i've been given good advice, as if i'm going to turn out as big as the sizer, i'd rather just live with my droopy little breasts. Thanks! :)
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17 Doctor Answers |
Asked by
crystalbella
in Brisbane
+2
Breast lift and breast implants
Your posted photos show minimal sagging as the nipples are close to the breast crease level (not well below it) with loss of upper breast half fullness. Implants alone are a valid option and is the standard answer in inservice training exams but I am not sure that tear drop are the best choice for upper half filling. The teardrop also project outwards more than the round and this may account for what you perceived as massive.
My response to your question/post does not represent formal...
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Los Angeles Plastic Surgeon
+2
Breast implants are only needed if the patient wants to be bigger
Based on your photos, I would say that you are a good candidate for a lift alone to correct the sagging in your breasts. Because of your slightly smaller size, the lift should last longer too. I don't understand why patients continue to be told that they MUST get breast implants to correct "droopy" breasts. This is simply not so. If you don't want to be any bigger, get a lift alone, and forget the implants. There are many good techniques for this procedure, many...
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+2
Augmentation alone for sagging
If you really wish to avoid a visible breast scar then an implnat alone will add volume to the breast and give you some lift. After weight loss the skin envelope can be full, and a subglandular implant will give a better marriage between breast and implant if you are choosing a smaller size. The 250 cc implant is modest as things go and you can't simply try it one to get the proper look. His ideas sound good to us, except the teardrop thing as we think the round is a safer bet. If the photo...
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+2
Sagging
I would strongly encourage you to see another surgeon. The info you are getting is not correct. A smaller implant and a lift can be a good option.
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Breast Augmentation Only to Correct Sagging? (photo)
Although a breast implant will fill out excess breast skin in patients otherwise considering a lift, it may not be a good choice for a patient who does not want larger breasts. Given your reaction to the modest sizers, I think you would be better off without implants.
I would seek out another opinion, as I don't see a reason why a lift couldn't be considered for you.
Thanks for the question, the photos. Best wishes.
+1
Breast lift and implants
It’s very difficult for me to tell from your photos; however, I would lean to agreeing with your plastic surgeon and I also suggest to my patients that they obtain another consult for a second opinion. I also caution my patients to not obtain too many opinions, as it then may become very confusing. Just as an example, I have one patient who initially came to me regarding breast surgery, saw 4 other plastic surgeons, and finally returned for her surgery, but stating that...
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+1
Always be careful you're not just being told what you want to hear...
Hi there-
I personally would be very concerned that a year after your procedure you are very likely to be unhappy (even if you were initially pleased)...
Clearly from your photos, you have some excess breast skin, and that skin has lost some of its youthful qualities (explaining why your breasts are drooping). When implants are placed above the muscle (usually in an attempt to give a patient who has expressed a desire to avoid a breast lift what she wants), the only support for that...
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+1
Breast Augmentation to Correct Sagging
Reviewing your photos it would appear that you would benefit from a lift. The implant would play a role if you wanted to also create a fullness at the upper part of your breasts, as this would not be adequately addressed by lift alone. While the sizer you used to give you an idea of your result, remember it is only an idea. There are several factors that will effect how you look after an augmentation. One of such factors is the fact that you would be having a lift at the same time which will...
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+1
Breast Augmentation Alone or Breast Lift Necessary?
Thank you for the question and pictures.
Although in person consultation and a full communication of your goals would be necessary to give you accurate/specific advice, I think you will do well with breast lifting along with breast augmentation. I think the position of your breasts and the nipple/areola complexes are such that breast augmentation alone would not provide you with an aesthetically pleasing result. I would also suggest sub muscular (dual plane)...
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Implants are for volume and breast lift is for correcting laxity
Hello,
Thank you for the photos. I try to encourage my patients to think of breast augmentation and breast lift procedures as two fundamentally different options aimed at different issues. Since a breast implant goes above your breast fold any skin and breast tissue that hangs below your breast fold will be hanging off of your implant after breast augmentation. If you can make your breasts look the way you want by simply shaping them with your hands or a non padded bra...
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+1
Breast augmentation for a lift?
Performing a breast augmentation does not provide a lift. In many cases whenthe nipple is just a bit low or there is some skin laxity along the lower pole, a circumareola lift and skin tightening can help. Ths scar is limited to around the border of the areola. But just placing implants does not give a lift.
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Breast Augmentation Only to Correct Sagging?
The posted photos show a slight ptosids that in my opinion will not be corrected via a small tear drop implant. Again in my opinion go larger under the muscle with a lift. Best to seek additional in person consultations.
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Consider mastopexy alone
You do have alternatives including just a mastopexy or use of smaller implants. See another board certified plastic surgeon in consultation and express your concern about being too large.
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Breast Aug Correct Sagging?
I always feel it is a good idea to obtain several opinions. From your pictures you certainly could have a wonderful result with an augmentation lift. My preference are smooth round silicone implants but I would need to see you for accurate opinion on that. From what you are describing I think a second or even third opinion would be warranted. Then you can compare all of your notes. Bring someone with you and have them take notes for you if you think you need that. I do not know many surgeons...
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+1
#BreastLift or #BreastAugmentation for sagging breasts?
From your photos, it appears that you have some droop to your breasts to start and the reason we have breast lift operations is that an augmentation alone does not lift the breast to any appreciable degree. I would consider approaching your decision by seeing multiple surgeons and comparing the plan. It need to make sense to you so that you aren't a set-up for a second operation sooner that you would like.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
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+1
Breast Lift
I always ask my patients that look like your pictures how they want their breast to look. If you don't mind that they sit low, and you are okay with a little more volume, a small implant can fill out a little of the sloped upper breast, but it will not lift the breast at all. If too large of an implant is used, it may actually make your sagging look worse because it overfills the upper breast and makes the breast look more saggy. No type of implant alone will lift the...
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+1
Get another opinion
I agree with the other surgeons in that you should seek another opinion. There is no reason you cannot have just a lift to improve the shape of your breasts.
One problem with small implants is that they are not very wide, and will project more than fill a necessary width of your breast. Sientra has come out with low profile silicone gel implants that help fill this void for patients such as yourself.
I would contact a board-certified plastic surgeon that...
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