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Implants Without a Lift? My Weight Has Fluctuated. (photo)

asked 7 months ago by Maribelle
Latest answer by Scott L. Replogle, MD
Question viewed 265 times
Tags: sagging, under muscle, over muscle, recommendation, yo-yo dieting

I'm a 33 year old woman who has sagging breast due to weight loss and gain repeatedly, and I'm wondering if it is possible for me to do a breast augmentation whit out a life. I am thinking 400 - 450cc gels depending on how much needed to fill the lose skin. I am also wondering if i should go over or under the muscle. Since I'm worried about DB going under and that going over would just make them sagg even more.

12 answers to Implants Without a Lift? My Weight Has Fluctuated. (photo)

Breast Lifting Necessary?

Thank you for the question and pictures. Based on your pictures I think you are an excellent candidate for breast augmentation without the need for breast lifting. Generally, I suggest some muscular augmentation (dual plane) for the best results and avoidance of complications. I also think the size range you have mentioned may be spot on. Some thoughts regarding the procedure may be helpful... Much of the final “look” achieved after breast... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast implants and lifts

The consensus of opinions here is correct that you do not need a lift because your nipple-areola position is at or above the inframammary crease level but I can't see how anyone can choose a volume without knowing the width of the breast and the profile choice of the patient. I also don't think that a properly fit implant will do anything to the skin. It may look less loose but its actually feel and quality will not be changed. Today it is clear that for a number of reasons implants... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Augmentation - Implants Without a Lift? My Weight Has Fluctuated. (photo)

Not necessary to get a good result, but might be necessary to get the result you're hoping for. The photos suggest that you would do well with implants alone (I would recommend smooth, round, submuscular and not overly large). But, in all fairness, it looks like you're holding your shoulders back, so you may have slightly more sagging than it would appear. And the next factor - the amount of elasticity in your skin, which may be stretched out from weight gain and loss... more

Alan Engler, MD
New York Plastic Surgeon

Breast augmentation without lift

Thank you for your question. Based on the photographs you sent, it appears that you can undergo breast implant placement without a lift. You have some asymmetry which will be more apparent after the operation. If you want this corrected, a nipple adjustment may be necessary on the left because that nipple is lower than the right. I hope this helps.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Breast augmentation

Thank you for your questions. Based on the information yuo provided and the photo, I think you are a good candidate for breast augmentation. I agree with the size and type of implant you mentioned, however, an accurate examination is esential to address this particular part of the procedure. I prefer under the muscle placement for several reasons.; the risk of rippling and capsular contracture are lower when the implants are placed under the muscle. Here are some helpful tips for your... more

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Implants without a lift.

I think that a sub-muscular dual plane approach is a wise one without a breast lift. I cannot comment on what size would be appropriate without seeing some measurements of your breasts and you also have to understand that the breast would remain where it is on your ribcage, the lifting of the nipple and areola will be more of an optical illusion as the upper pole is filled up, but the location of your breast tissue and areola will not change.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Implants without a lift

With weight loss, the skin quality usually weakens. An implant may cause them to sag bit more. Sometimes a circumareola lift is all that you might need. An exam is key.

Steven Wallach, MD
Manhattan Plastic Surgeon

Just an aug

Don't think you need a lift, especially if you want those implants. I do disagree that they should gomunder the muscle. I place implants above the muscle. Especially when you are slightly saggy. There is no evidence that under is better.

William B. Rosenblatt, MD
New York Plastic Surgeon

Good Candidate For Implants Without Lift

From your photos, you appear to be a good candidate for an augmentation without a breast lift. The reason for this is that your nipples seem to be situated above your inframammary fold. I would suggest that you have the implants placed below the muscle as this tends to give much better results in almost all patients.

John Whitt, MD
Louisville Plastic Surgeon

I f you are comfortable with the overall shape of your breasts, and are looking to

Make your breasts larger, than breast augmentatyion without a lift is the appropriate operation for you. In particular, since the postion of your nipples relative to the inframammary fold (the point where the breast meets the chest wall) is appropriate, no lift appears to be necessary. As for over or under the muscle, that depends on the style of implant you are choosing and how large you want your breasts to be after the procedure. I would discuss your thoughts and wishes... more

Michael H. Rosenberg, MD
White Plains Plastic Surgeon

plasticsurgeryweb.com

Breast implant sizing is important

You appear to be a great candidate for a breast augmentation. I am a fan of smaller implants, and thusly would base implant selectin on the dimensions of your breasts. I prefer the dual-plane position for smooth silicone implants. I generally use a infra-mammary incision. If you want to avoid the 'double bubble' appearance, I would suggest choosing an implant with diameter that is smaller than the base width of your breast.

Scott Sattler, MD
Bellevue Plastic Surgeon

To lift or not to lift

Your nipples are above the level of your breast crease so you don't need a lift. The problem with putting implants on top of the muscle is that you are detaching the breast from the chest wall which, in some cases, can accelerate sagging and can even lead to a "rock in a sock" deformity. A partially under the muscle approach is your best bet. Good luck!