Breast Lift: Q&A

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Do I Need Implants? (photo)

I am a slim athletic 30 yr old. I have always had small breasts, but after breast-feeding two kids , my breast are deflated. I don't necessarily want bigger breasts (I doubt I could afford it anyway). I just want the sagging to go away and my small breasts to sit up like they used to before nursing. Thank you for your time, your guidance is greatly appreciated.

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20 Doctor Answers | Asked by converse10

Doctor Answers (20)
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Do I Need Implants?

Although no one NEEDS implants, the question is how to best restore the appearance of your breasts that have "deflated" after pregnancy and nursing. You do not appear to have significant sagging of the breasts (in terms of excessive overhang of the breast over the inframammary crease) or a very low nipple position...therefore, it does not look like you would benefit much from a breast lift. Lifts are designed to lift on overhanging breast and a low nipple in relation to the... more

Breast lift vs breast implants

Hello, Perky breasts usually indicate that they are full and that fullness is well positioned. Your photo appears to show relatively small breasts that are lacking volume for the amount of skin/soft-tissue that is present. A breast lift would tighten your breast envelope but I doubt that you would consider the result "perky". A purse-string mastopexy can tighten some of the skin around the areola. If you choose to get implants later on you could still do so.... more

Nobody needs breast implants.

Breast implants make breasts larger-period. If you like the size of your breasts, don't get breast implants. Breasts can be reshaped to look more youthful, but this is an operation with incisions.

Mini Ultimate Breast Lift best choice for maximum lift without implants

Hello, Not wanting implants is a very wise choice as they will make things worse with time. The Mini UBL repositions your existing breast tissue so that it is evenly distributed on your chest. It is also anchored in position to minimize downward migration. However, it will not add volume to your breasts. Hope this helps. Kind regards, Dr. H see photos

Lift vs. breast implant after pregnancy

I always tell my patients, to first pick the size. If you like your size, certainly don't get an implant. I can't tell you how many women take these out later. Next, pick the profile you like. Let me say your breasts look a lot better than many after breast feeding so you may want to bulk up your pecs a little and leave them alone. You can get a small internal lift with a minimal scar, I perform it through the inferior areola, and many breast surgeons have a variation on this where they... more

Lisa B. Cassileth, MD

3 reviews

Beverly Hills Plastic Surgeon

What you "need" is to meet a Board Certified Plastic Surgeon

While no one "needs" implants you have a typical problem that can be fixed with an implant, even if it is just a small one. Your breasts have too much skin and not enough breast tissue. If you don't want an implant to fix the volume problem the only other choice is to remove some of the loose skin though a lift. Which one you choose is entirely up to you and your plastic surgeon after considering the pros and cons of each route.

Do I need Breast Implants? from El Paso, Texas

Nice to hear a question posted from El Paso, Texas. Obviously, nobody "needs" implants. You voice a desire for your breasts to "sit up" better and correct the "deflation". A full examination would be necessary to determine the best procedure. Breast augmentation alone could improve the size, shape, and deflation. A lift might be necessary if you desire full upper pole and higher breast location. From El Paso, Texas, Frank Agulo, MD.

Do I Need Implants

From these photos, your nipples and areolas are properly positioned, and the sense of sagging you see is the result of volume loss. The treatment would be volume replacement, most likely with implants. Fat grafting can be an option, but I don't see much excess fat on these photos. A lift operation is quite unlikely to achieve your goal. Thanks, best wishes.

Breasts

Any cosmetic surgery of your breasts will require at least a small implant to improve their appearance. Some surgeons might suggest fat injections as an option, but I would avoid that option. It may sound appealing , but the procedure simply has not been perfected at this time.

Post breast feeding options - breast implants or breast lift?

Breast deflation (breast involution) following breast feeding is a very common problem. From your photos, it appears that although you have lost some volume, your nipples are in relatively good position. You probably could consider a breast augmentation alone, if you would like to restore the volume that you have lost. If, however, you don't want added volume, you could consider one of several types of breast lift (donut, lollipop, or anchor). If you want just a... more

Consider a peri-areolar #breastlift without #implants

If you like your size, skip the implant and I would suggest a peri-areolar lift to tighten the skin envelope and give a slight raise to the nipples...That is probably all you would need!

Sagging

First you have to define what you mean by "sagging". This could mean the position of the nipple on the chest, the position of the nipple relative to the breast mound, the amount of breast below the fold underneath the breast, the lack of forward projection of the breast mound and nipple. The size of the breast can be the volume of the breast or the outer contour of breast which are then relative by the density or firmness of the breast. i suspect that what you probably mean is the deflated,... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast lift vs. implant choice requires good advice

Hi converse10! you definitely are showing the deflation that plagues most women after pregnance and breast feeding. you are lucky that you do not have excessive overhang to the breasts and that your nipple position is fairly high. that means that if you are willing and interested in augmenting the breast to get your fullness back you may be able to avoid skin tightening with a mastopexy (breast lift). what you actually choose to do depends on how large of a size... more

Implants for deflated breasts

Hi, your pictures certainly show the deflation due to the pregnancy and breast feeding, but you do not have sagging in the medical sense, since your nipples seem to be located in the right position. what you have is deflation and this can be remedied with appropriate size and profile breast implants, which can also help lift the breasts a bit. you are the only who can decide if that is a good option for you or not, so I recommend that you consult with a board... more

Do You Need Breast Implants?

Thank you for your question and photos. From your photos, if you are wanting to address the "slight sagginess" and "deflated look" of your breasts, breast implants would be helpful. I would suggest that due to your body type and the presence of very little body fat/ breast tissue, you look into silicone gel breast implants to help minimize rippling and/or palpability of the breast implants. Choosing to get breast implants is a personal decision and only you can make that... more

Hello

Yes,implants will be really good in your situation. Getting a modest implants will help with lifting your breasts. Small implants and modest lift.

Implants?

Instead of asking if you need implants, ask if you want implants! It is very natural to lose breast volume after nursing. If you want to restore the volume lost, breast augmentation with small implants may be the right procedure for you. So to answer your question, you do not need a breast augmentation, but if you want it you may be a candidate for one.

Do I Need Implants?

Choosing to have cosmetic elective surgery is a very personal decision, not one the surgeon makes for the patient. Our position is to see if an acceptable result can be achieved, if the patient has realistic expectations, and are a candidate. You the patient decides if you "need" the operation.

Needing breast implants

I would discourage the use of the word or thinking in terms of "need" as breast implants are a purely elective/cosmetic device in your situation and are not needed in a medical sense. Breast implants are pillow volume and their only purpose is to fill out volume over the entire breast from behind. The minimum size increase with a properly fitted and positioned low profile implant is one cup size. Breast implants give the illusion of perkiness but do not actually lift the breast... more

Do I need breast implants?

Thanks for your question and photos. The decision to get breast implants is an elective one but the best way now to improve the shape of your breasts would be with an appropriate sized implant. The only real other option would be to visit with a board-certified plastic surgeon who performs fat grafting to the breast. I encourage you to do your research before going down this path because there are many not so well-trained providers who are starting to offer this as a clinic procedure. You... more