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Deflated Breasts - Implants Only? Or is a Lift Required?

asked 1 year ago by USA2766 in Somewhere, USA
Latest answer by Gary M. Horndeski, MD
Question viewed 810 times
Tags: deflation, options

I do not like the deflated appearance of my breasts. My goal is to restore my formerly fuller bustline with minimal scarring. Taking into account the pale tone of my areola, and that nipple placement per se is not one of my primary concerns, to what extent might scarring left by a peri-areola lift be a worthwhile tradeoff? Also I have not had children, but plan to be a mother and breastfeed in future. Thus any procedure which carries a high risk of jeopardizing this ability is unacceptable.

17 answers to Deflated Breasts - Implants Only? Or is a Lift Required?

Is lift required for deflated breasts?

The trick to peri-areolar lifts is to place a permanent purse string suture to avoid stretching of the areola with the weight of an implant. Only your PS at the time of surgery will be able to determine for certain if a lift is needed. You have stated that position of your nipple is not a real concern for you, so perhaps subpectoral silicone implants will be enough to meet your intended goals. In my experience, peri-areolar scars are almost invisible with time. Best wishes, Dr. H more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Breast implants with no breast lift

Based on your photos and your current situation, I would recommend only breast augmentation at this time. I would recommend a subpectoral, inframammary incision which will optimize your ability to breast feed in the future. When you're done having children, you may need a lift at that time-but a plastic surgeon will be able to evaluate you to determine if that is necessary. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Breast augmentation, lift, breast feed

Breast Augmentation without a lift would likely be my choice for you, based on your desires and photos. Implants would give you the desired increase in volume. You will likely have some additional sag after child bearing and can undergo a lift procedure after you are done with pregnancy and breast feeding. Breast augmentation will not alter your ability to breast feed.

Aysel Sanderson, MD
Kirkland Plastic Surgeon

No lifting needed

In my opinion you do not need any kind of breast lifting. I rarely do a "peri-areolar lift" because the areolas stretch and often do not stay round. I would definitely place your implants in a subpectoral position. Depending on what your breasts do during your pregnancy and breast feeding you may need lifts someday, but you can enjoy larger breasts and less scars until then.

Lori H. Saltz, MD
San Diego Plastic Surgeon

www.ljcsc.com

Options for Breast Enlargement

I great option for your may be a dual plane breast augmentation with either silicone or saline implants. based on your photos, I do not think you need a breast lift or mastopexy procedure. So if your goal is volume restoration, then the solution would be a breast augmentation only. This simplifies your treatment plan. Please visit with a board certified plastic surgeon to learn more about your options.

C. Bob Basu, MD
Houston Plastic Surgeon

You can get a great result with augmentation only

Your nipple does not point downward and you will have a good result with submuscular breast augmentation. Please avoid cirumaerolar lift and find a surgeon that can do augmentation without lift. You will need lift later on and best would be after finishing with pregnancy.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast augmentation with or without a lift

Hi, From the photos that you provided it appears you are a good candidate for a breast augmentation with a high profile implant that can achieve the breast lift as well. Best of luck!

Dana Khuthaila, MD
New York Plastic Surgeon

Augmentation and lift?

From your photos it is difficult to say for sure, but if I were to do a lift, it would only be a circumareola to perhaps lift the areola and remove some skin from below. I can't really say without an exam.

Steven Wallach, MD
Manhattan Plastic Surgeon

A breast augmentation

You are a great candidate for breast augmentation - your nipple position is good and an implant will help give you that fuller rounder look with great cleavage and minimal scarring!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Implant or Uplift?

I would not recommend that you take on the extra scarring and complications associated with an uplift. You are a great candidate for a breast augmentation.

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Breast augmentation

From your photo especially of you are not concerned about nipple position all you need is an augmentation of volume restoration and toning of the tissues.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Options for deflated breasts.

Thank you for the excellent photos, they are helpful in formulating my response. From your photos it does not appear that you have any ptosis of your nipple / areolar, ie your nipple - areolar are at or above the fold under your breast. If your nipple - areolar are in the correct position, lifting them higher won't improve the appearance of the breast and can lead to future areolar malposition, ie, the nipple - areolar being too high as the breast settles below it... more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Breast lift or implants

Thank you for your photos, Your nipple position siightly low and you have minimal breast tissue. Have you considered having a breast augmentation using anatomical shaped gel implants. This shape implant helps to lift the lower pole of the breast and to raise the nipple. I would not recommend an uplift to your breasts at this stage.

Isolde Hertess, MD
Gold Coast Plastic Surgeon

www.plasticsurgerycentregoldcoast.com.au

Breast augmentation and mastopexy?

Thank you for the question and the good quality pictures. I think that based on the pictures and your stated goals and concerns, that breast augmentation alone will suffice. Mastopexy surgery is not necessary (but may be after pregnancy). Your next step should be clear communication of goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast lift or just breast implants?

Based on the photos you have provided my opinion is that implants alone without a lift would be the procedure of choice. That being said, consideration of your goals must be taken into account. After breast augmentation alone, it would appear that you will still have a little natural breast droop of the lower pole of the breast. Personally, I think it will look very good and it would not be an indication for a breast lift. However, your goals may not be quite so... more

York Jay Yates, MD
Salt Lake City Plastic Surgeon

Lifting the Breast

I agree with many of the posts that it is probably not necessary to perform a breast lift for you in addition to the augmentation. Make sure you are evaluated by a board certified plastic surgeon to make sure.

Jeff Scott, MD
Everett Plastic Surgeon

Deflated breasts: breast augmentation with lift?

Your photos show not only deflation but a lowered position of your nipple. The extent of sagging can't fully be discerned without an examination. Given this, my recommendation would be for a submuscular placement of a silicone implant using a high profile implant. You still may need some form os skin envelope tightening such as a mini-lift and removal of tissue at the lower portion of your breast.