Concerned About Getting Good Post Op Shape After Breast Reduction and Lift.

asked 11 months ago by bellasmom in Mount Pleasant, SC
Latest answer by Tom J. Pousti, MD
Question viewed 269 times
Tags: weight loss, F cup, full, shape, worried

I am 43 and a 34 DDD/F with sagging after baby and wt. loss. I have consulted w/ 3 surgeons about a breast reduction/lift. I have been disappointed with post op photos as the breasts often look flat on top and too droopy. I dont want to have to get implants to get a nice shape. Only one of the surgeons had fantastic "after" photos. Is this a result of technique or the patient? How can I know if the surgeon's technique will likely promote that upper pole fullness? what ?'s should I ask?

7 answers to Concerned About Getting Good Post Op Shape After Breast Reduction and Lift.

Breast Reduction Results?

Thank you for the question. Although it is difficult to give you good advice without direct examination, the results of your breast reduction surgery will come down to two major determining factors. 1. The skill and ability of your plastic surgeon. This can be best evaluated by evaluating before-and-after pictures and meeting with patients who've had similar procedures performed. 2. The current condition of your breasts and skin quality/elasticity will play... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Each patient is different

A very important determinant of what result you obtain will be what your breast look like beforehand. the public is often mislead that regardless of what the surgeon starts with, he/she can shape your breasts into what they looked liked when you were 18 y/o and your ideal weight. there certainly is a role for technique and artistry. however, the shape of your breasts, the degree of skin tone, per cent of fatty tissue, your overall weight/height etc all play an important role in the... more

David E. Berman, MD
Sterling Plastic Surgeon

Breast Reduction - Concerned About Getting Good Post Op Shape After Breast Reduction and Lift.

Hi blossom, There are many factors that go into the post-operative appearance of this - and all - surgical procedures. These include the preoperative appearance, the surgery that is done, and the way that the patient heals into his or her new shape. For breast reductions, the factors that can be controlled are really just the surgery - the Prue-operative appearance is out of your control, as is the way you will heal. So one part of the post-op photos you liked may be... more

Alan Engler, MD
New York Plastic Surgeon

Breast Reduction and Breast Shape

Hello Bellasmom, In general, upper pole fullness is a lofty but elusive goal of breast reduction surgery, and is not obtainable in the typical fatty breast, regardless of the technique. In certain individuals with very youthful, glandular breasts, upper pole volume is more reliably obtained. Typically this is seen in women in their adolescence. For most women to obtain upper pole fullness however, a breast implant should also be utilized as part of the breast... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Upper pole fullness with a breast reduction.

Different breast reduction techniques will lead to different results in the postoperative shape to the breasts. Certainly patient anatomy plays a large part in the overall results. I find that techniques which suspend the breast tissue from the upper pole (such as a superior medial technique) result in more upper pole fullness, better coning of the breast, and longer lasting results. Classic techniques such as the inferior pedicle technique often lead to flattened appearing breasts and... more

David Bogue, MD
Boca Raton Plastic Surgeon

Large sagging breasts after childbearing

Childbearing and lactation can produce marked changes in the shape of your breasts. Commonly after multiple children, the repeated stretching and engorgement of the breasts leave the skin lax and with stretch marks. The glandular tissue also involutes into a tighter mass at the bottom of the breast, thus your upper pole appears flat. Most breast reduction procedures decrease the volume (and weight) of your gland and tighten the inferior skin to place the nipple and remaining gland in a more... more

Ricardo Izquierdo, MD
Chicago Plastic Surgeon

All surgeons are different and wil give you different results in plastic surgery

The 2 main determinants of the plastic surgery result you will get are the nature of your own tissues and the skill, talent and artistry of the plastic surgeon you choose. Named techniques or cute advertised procedures will not be more important than either of these 2 priorities. Go back to the one with the best results and ask what they honestly think they can do for you.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

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