Deflated Breasts! I Am Currently an A Cup Hoping to Be a Large D. Do I Need a Lift?

About 4 months ago I quit breastfeeding my second and final baby. I have completely lost all of my breast volume. I am considering a 600cc silicone implant. Could I have a breast augmentation without a lift and achieve a nice result? I hope to achieve a full but natural look. What would you recommend?

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20 Doctor Answers | Asked by Texas2929 in Texas

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Breast augmentation after breast feeding

I specialize in breast augmentation after pregnancy, and I think this is an excellent time to consider breast augmentation after breast feeding. Most women get some "tissue deflation" after stopping breast feeding and want to replace the volume they have lost. Breast augmentation is a great way to do this. I would recommend either saline or silicone gel implants under the muscle. Silicone gel implants feel the most natural and in my opinion have the best overall... more

To lift, or not to lift; that is the question.

Patients often ask if having a large implant put in will help avoid the need for a lift. The simple answer is not really. Generally speaking, if you put a big implant into a sagging breast you end up with a bigger sagging breast. Of course, there are some patients that can get by without a lift though a lift might make the results look better. The size of the implant has little to do with how the end results will look. In your case, you seem to be one of those in the middle... more

Large Augmentation No Substitute for a Lift

When the nipples are below the breast crease, a lift is your best bet. Implants will fill out the breast, but do not lift the breast. Woman who are "too big" are uncomfortable and unhappy with their breast size: don't make the mistake of "over-augmenting," trying to lift or fill out a droopy breast!

Deflated Breasts

Your picture shows significant sagging. It seems that you will need a lift and an augmentation, I do not recommend the two surgeries to be performed simultaneously especially with large implants. I have seen too many poor results with combination procedures. Ask your doctor about the consequences of very large implants.

Whether a breast lift is necessary with implants.

Thank you for your photos. A lift will allow for better placement of your nipples over the implant. The implant will provide some upward rotation of the nipples and likely decrease the degree of lift you may need. Your always have the option of having the augmentation first then having a small lift performed if the nipple position is unacceptable for you.

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Do Large Implants Mean I don't Need a Lift?

My recommendation is a breast lift with implants placed under the muscle. The thought that going over the muscle will somehow avoid needing a breast lift is inaccurate. The implant needs to be centered under the breast tissue. If the breast tissue is low, whether the implants are above or below the muscle will not address this. Based on your photographs it appears that your nipples are below the breast crease. In such cases patients will need a lift to bring the breast back up to a more... more

Breast lift and breast implants

The photos show asymmetry with the left breast smaller than the right and the left nipple in a lower position than the right. Also both nipples are well below the inframammary crease with almost all of the breast tissue below the crease as well. If you just put a implant in above the muscle without any other procedure it will aggravate this sagging appearance and not correct the asymmetry. If you just put an implant in under the muscle your breast tissue will hang below the implant, the... more

A lift with implants will give you the bes results

Because your nipples are below the inframammary fold, you will have the best results with implants and a breast ift. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

A lift or not?

You have 2 options: 1. You can choose a breast augmentation alone to fill out your breasts. I nearly always use a tear-drop shaped, highly cohesive (or 'gummy bear') implant placed over the chest muscle. This will give you fuller, though still droopy breasts. You would need to do your own breast lift with a bra. 2. The more attractive result would be with a vertical (or 'lolly pop') breast lift with augmentation. This would allow you to use smaller implants... more

Breast lift along with breast enlargement is mandatory

Your photos unequivocally indicate that a lift is mandatory. A breast augmentation alone will only enlarge the saggy tissue but will not elevate it, recontour and rejuvenate it. What will eventuate is thin, poor quality skin drooping off your implants - not a look that you will be satisfied with. Addressing this with a subsequent lift not only means that you will have to undergo a second procedure where just one was indicated but you will also face new charges that when combined... more