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

asked 1 year ago by Texas2929 in Texas
Latest answer by Ivan Thomas, MD
Question viewed 1,260 times
Tags: breast feeding, A to D cup, deflation

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?

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

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

Adam Rubinstein, MD
Miami Plastic Surgeon

dr-rubinstein.com

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!

Paul C. Zwiebel, MD
Denver Plastic Surgeon

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

James F. Boynton, MD
Houston Plastic Surgeon

www.BoyntonPlasticSurgery.com

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.

Ivan Thomas, MD
Los Angeles Plastic Surgeon

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
Boca Raton Plastic Surgeon

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

Babak Dadvand, MD
Los Angeles Plastic Surgeon

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

Aaron Stone, MD
Los Angeles Plastic Surgeon

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
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

Eric Pugash, MD
Vancouver Plastic Surgeon

www.vancouvercosmeticsurgery.ca

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

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

When to lift the breast

A lift is indicated when the nipples are at or below the crease or pointing are down. A huge implant will not fix this. Your photos look to me like a lift is indicated. You can always try the implants and do the lift later, but I'll bet you would come back for the lift after seeing the more matronly look you'd likely get without the lift.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

To Lift or Not To Lift - that is the question...

Great question. Its difficult to tell from your 2 photos. From one photo, it looks like you would benefit from at least a limited scar periareolar lift with your augmentation procedure. However, from your second photo, you may be able to get a great result without a lift. For moms presenting with volume loss and mild sagging, I have found that a dual plane breast augmentation helps to also lift up the breasts without needing a formal lift. However, if... more

C. Bob Basu, MD
Houston Plastic Surgeon

Augmentation With/Without Lift

Looking at your photos, I don't think that you will be happy with a large implant without some sort of breast lift. The key is the location of your nipples. If they are below the inframammary fold, you definitely need to have a lift. If there is milder sagging, it depends on how much sagging you are willing to accept post-operatively.

John Whitt, MD
Louisville Plastic Surgeon

Large breast implants an breast lift

Many patients often want a large implant to try to achieve some amount of lift. However, this often results in breast that are just lower down on the chest/abdominal wall and not really lifting your breasts. I do recommend a breast lift and augmentation.

Delio Ortegon, MD
San Antonio Plastic Surgeon

Best option for deflated breast

As you notice there are a number of options and opinions about this. The most important opinion is yours. If you are thinking "perky" then you are probably envisioning breasts that are lifted to be higher on your chest and then inflated with an implant. If you just want larger, you can larger without a lift, but the implants, like your breast will be low on the chest, almost on the abdomen and may just make you look big and droopy or even heavy. With a lift you... more

Byron D. Poindexter, MD
Reston Plastic Surgeon

Full but Natural looking breasts

I agree with Dr. Boynton. If your goal is fuller naturally looking breasts then you would benefit from a smaller implant with a lift. However if you want to avoid scars on your breasts then a larger high profile implant can give you the lift, but choosing too big of an implant for you may not look natural. Best of luck! Dana Khuthaila, MD, FRCSC, FACS

Dana Khuthaila, MD
New York Plastic Surgeon

www.drkhuthaila.com

Breast lift is often more important than augmentation for best cosmetic result

You need a vertical breast lift- no question about it. An implant will add volume to your breast. A 600 cc implant is huge - I would question that size- it certainly won't make your breast look better, just 'different'- the ideal combo for you would be a vertical breast lift and a small sub muscular silicone implant.

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast augmentation

Looking at your photos I believe that you will probably need a lift, though not necessarily if the implant is on the larger side. Photos can be deceiving, so I can not fully commit to saying that a lift is 100% required!

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Lift and augmentation

You most definitely will need a breast lift and breast augmentation to achieve a nice result. I would not opt for just implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

To lift or t, That is the questionn

Dear Texas, I see a lot of patients like you in my 20 years of practice in Boca Raton. There are several things you must ask yourself and your plastic surgeon when you are getting a lift with implants or implants. Are you concerned about making sure you are as large as possible or are you trying to avoid the scars of a lift Without evaluating you it is certainly difficult to tell how low your nipple areolar complex is, but it seems to be below the fold and the nipples... more