I am a C cup, and plan to get a lift with no implant. I have significant sagging, and will surely be having a vertical or anchor procedure (consultations are in September). With either of those incisions, is it typical for a p.s. to also internally provide more support for the breast tissue, itself, or is the lift simply a skin and nipple relocation? Is there some procedure I should be asking about besides the type of incision which will make my breasts "sturdier" beyond the skin tightening?
Does a Lift Without Implants Also Reshape the Tissue,or Just Alter Skin and the Nipple?
Doctor Answers (19)
Beautiful breasts without implants
You absolutely have an alternative to the 'anchor' or 'lollipop' procedures to lift saggy breasts. There's a revolutionary technique that creates an 'inner cone' from your own tissue and uses your excess skin to create permanent 'bra straps' that are attached to your pectoral muscles which allow for a long lasting lift. The inner cone allows upper pole fullness that no one else can achieve with conventional methods. An added benefit is the elimination of the unsightly vertical scar. Best wishes, Dr H.
Breast lift for reshaping breasts
When I do a vertical breast lift, I reshape the breast by releasing the lower part of the breast tissue and pushing it up into the upper part of the breast. The breast looks a little weird for a few weeks with too much upper pole fullness and some flattening of the lower pole. After a few weeks the lower pole has rounded out. Longevity of the result depends a lot on the size of the breasts (big sags more than small), the quality of the patient's breast skin and the nature of the breast tissue (fibrous holds up better than fatty). All in all, breast lift is a great procedure for ladies who have enough up top. The recovery is usually pretty rapid and there is no implant to maintain. Breast lift is my favorite procedure!
Lift without implants
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Breast Lifting ONLY to get your results
A mastopexy (breast lift) without implants can improve the shape of the breasts. This procedure involves reshaping, lifting and repositioning the nipple-areola complex, and increasing the firmness of the breasts by tightening the skin. To improve ptosis (sagging), a vertical incision is used to remove the loose, excess tissue depending on the severity and complexity of your case. Usually, performing a breast lift alone does not give patients the "fullness on top" that most patients are looking for. Depending on the patients current amount of breast tissue and what their goals are, small implants can be placed with the breast lift to get the results.
Consult with a board certified plastic surgeon to discuss your best option.
Reshaping the breast with an internal breast lift
There are many techniques available to correct breast sagging. If you have sufficient breast tissue then all you need is a reshaping of your natural breast tissue. There are many methods described for breast lift surgery and it is only through an evaluation by a plastic surgeon that you will know which method is correct for you. It is common for a plastic surgeon to reshape your breast tissue and then allow the skin to conform to this altered and new contour. Most of the time, depending upon your degree of sagging is can be done with a lollipop type incision, around the areola and down to the crease. You could have a breast lift without an implant. This depends upon your desire for upper pole fullness and the amount of loose skin.
Breast implants will give fullness to the upper breast when used with a lift
In general, if you have significant skin excess, an upside-down-T/inverted-T mastopexy (breast lift) is required. If you have enough breast tissue, you will often have good breast fullness in the mid and lower portions of the breast, although the breast size and bra size will decrease just from the lift. A breast implant is useful (1) to maintain or increase size, (2) to increase the "upper pole" fullness (fullness in the upper aspect of the breast); (3) to improve the roundness and projection of the breast. In general, if the upper breast is flat before a lift, it will be flat after the lift settles.
I personally do use internal sutures to improve the roundness and overall shape of the breast, as do most of the other surgeons who have answered your question. However this is dependent on having enough breast tissue to create a nice shape. Your surgeon should be able to explain differences between the using or not using an implant.
I hope this helps. Feel free to email any other questions.
We have learned over time that skin is simply a covering and not a supportive structure. This is true anywhere in the body. Techniques which rely solely on skin will look god intially but the skin will gradually stretch and succumb to the weight of the underlying structure. In many cases also demonstrating worsening of scars.
Breast contouring and support need to be done internally. This being said lifting techniques predominantly improve nipple position and remove the excess skin which comes in contact with the abdominal wall. Upper pole breast fullness is not reliably achieved with lifting alone.
A breast implant is generally needed if fullness of the upper breast out of clothing is important to you.
I hope this was helpful. Good luck.
Internal support during a breast lift
All patient's tissues are different and the more tone they have the better the result will be from a lift especially if the skin is not too badly stretched out. No lift technique, whether with or without internal suturing will withstand poor tissue over time.
Shaping of the breast with mastopexy
Depending on the technique; a lift can help cone the breast tissue. A "skin lift" only technique will not last as long as doing some work with the underlying breast tissue. Donald R. Nunn MD Atlanta Plastic Surgeon.