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Large Natural Breast and Wanting Implants

asked 1 year ago by Dallas9652 in Dallas, TX
Latest answer by Marie E. Montag, MD
Question viewed 390 times
Tags: age 35-44, DDD cup

Im 35 yrs old and have 36ddd breast. They are starting to sag and would like to stay the same size but get back to a fuller, perkier breast. I have been blessed enough that they dont point straight to the ground. Is there a way of doing it without a breast reduction? Afraid of the scar down the center of the breast. Can I put in a bit of a larger implant to fill them out or do I have to do both? What would be my options? thanks

15 answers to Large Natural Breast and Wanting Implants

Breast lift

Looking at your photo it would appear that a breast lift would be the best option. It would be a natural way to have the fullness that you desire while keeping in mind your frame.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

36DDD and wants implants / avoiding a lift

Your question is a common one. While a breast lift can be done without reducing your size, the trade-off of incisional scars is sometimes hard for patients to get their head around. Adding an implant to your natural 36DDD (=36F) size is not the right answer. Why?: 1) It would add a cup or two to your size...and you said you wanted to remain the same size 2) Implants do not lift the breast....you'd just have a bigger version of what you have now. 3) more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Breast Implants or Breast Lift

In your situation, the best answer truly is a breast lift. That will restore your upper volume (the 'perkiness'). Adding an implant would only add to the weight and increase the droop. Unfortunately, sometimes you have to accept the scar to get the shape you want.

Marie E. Montag, MD
Omaha Plastic Surgeon

Breast lift versus implants for sagging...

If you are looking for more youthful breasts you should really consider a breast lift as opposed to breast implants. A common misconception about implants is that they will give you lift, which isn't always true. Adding implants to a woman with larger breasts, such as yourself, will only give them more size and weight which can contribute to further sagging. After having a breast lift by a qualified plastic surgeon, scarring should be minimal, and in the... more

Shain A. Cuber, MD
Marlboro Plastic Surgeon

Breast Lift

You could have a breast lift to move the nipple and areola (dark part around your nipple) back up to the middle of your breast and remove excess skin. This would involve scars on the front of your breast but they tend to fade well over time. A breast augmentation would not accomplish this goal - an implant may fill out your skin better but will not move your nipple back up to the middle of your breast. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Large Natural Breast and Wanting Implants

I agree with my colleagues that an implant alone is probably not going to give you the look that you want. A lift and a small implant often gives the best result for prolonged upper pole fullness and the perky look. You will have to weigh the pros and cons and make a personal decision here.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

Breast implant or breast lift

I agree with the group in that adding an implant will not solve your complaints. You may have a temorary fullness but will certainly be larger and will eventually have more breast sagging. You would be best served with a breast lift. If you are concerned with scarring find a local surgeon that performs a vertical lift as these types have significantly shorter scars.

Delio Ortegon, MD
San Antonio Plastic Surgeon

www.sacs-sa.com

Large breasts with ptosis implant, lift?

You have large breasts that have significant ptosis (sagging). Regarding your question, you can not add an implant for fullness AND stay the same size. The scars from a breastlift fade and are usually not bad after healing. Adding an implant may cause increased sagging, or if placed where it should be aesthetically, will look "funny", as the breast will tend to "flag" off of it. So a lot to think about. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Vertical breast lift will benefit larger breasts

In my opinion, implants would not provide you with sufficent lift and could result in the appearance of a larger more "saggy" breast. You have to weigh it out and figure out which is worse, a well maintained scar or saggy breasts after augmentation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implants or breast lift

Based on your picture, a breast lift may be better. Implants will make your breasts larger and over time the may sag more.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Breast Lifts Create Perkier Breasts, Breast LIfts Do Not

One of the common misconceptions is that breast implants will have a significant breast lifting effect. This is an erroneous concept. Placing breast implants in your breasts will only make them bigger but not necessarily any perkier. Only a breast lift with the resultant scars can achieve what you want...but at the expense of the scars. This is the dilemma that many breast lift patients face...which side of the fence is more appealing...unscarred saggy breasts or scarred perkier... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Implants don't lift breasts

Unfortunately at your size, implants won't help and you can't avoid the vertical scar either. You ned a true breast lift and one done by an excellent palstic surgeon to get a great shape. Then the scars will be worth it.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Implants in large breasts?

You do not have a volume problem.Implants will only add weight and made you even saggier. Only you can decide if you wanted lifted breasts with scars, or saggier ones without them. In my opinion if you go with a lift you should consider having some breast tissue removed to better maintain the lift.

Ann F. Reilley, MD
Baton Rouge Plastic Surgeon

www.plasticsurgerybr.com

Sagging Breasts Not Corrected by Implants

If you currently are wearing a 36DDD bra and are sagging, there probably is very little chance of correcting this without some sort of breast lift. This is especially true if your nipples are at or below your inframammary crease. I understand that you want minimal scars, but you always must weigh the benefits from surgery with the disadvantages and risks.

John Whitt, MD
Louisville Plastic Surgeon

Larger breasts need to be perkier

If you feel that you have enough breast tissue then depending upon how the breasts look, you may need a small lift. Unless you want to be bigger, you do not need an implant.