Do I Need a Lift w/ Implants If I Only Have Minor Sag to my Breast?
Doctor Answers (19)
Bi- planar breast augmentation can often compensate for minor degrees of breast ptosis
Generally speaking if your nipple is above the inframammary fold, the fold beneath your breast, then this sagging is called glandular ptosis and a biplanar breast augmentation may suffice without the need for a lift.
Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in breast lift surgery and who has an excellent reputation in your community.
Lift or Implants for "Minor Sag"
While increasing the volume of your breasts can help to fill your breasts, implants do not lift the breast.
If you have had some deflation of the breast, but the nipples are above the height of the breast crease and the bottom of the breast has not dropped significantly, filling out the breast skin with more volume (breast implants) can work beautifully.
If the nipple or bottom of the breast are too low on the chest, a lift may be a better alternative.
Your plastic surgeon can make this determination for you at consultation.
Lift or no lift?
It would completely depend on how much excess skin you have and wear that skin is in relation to the crease beneath your breasts. If it is above, you may not need a lift. If most of your breast is below the crease, you will probably need to consider a lift. Another way to try and figure this out is to look at yourself in a mirror. Do you see any breast skin beneath your areola? or is the areola at the bottom of the breast when you look at the reflection.
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Bi-Planar Breast Augmentation for Patients with Mild Breast Sag
Breast lift surgery can frequently be avoided in patients with mild breast sag by performing a bi planer breast augmentation. This procedure partially separates the breast tissue from the underlying muscles. This maneuver allows breast tissue to spread evenly over the breast implant and helps avoid breast lift surgery and its associated scarring.
Bi planer breast lifts are only effective when minimal breast sag is present. When breast sag is moderate to severe, a breast lift variant is usually necessary.
It’s virtually impossible to recommend a specific procedure without performing a physical exam or evaluating pictures. It’s therefore important to be evaluated by a board certified plastic surgeon with experience performing this procedure. This surgeon should be able to make an appropriate recommendation.
Treating a little breast sag.
Breast Lifting Needed?
Thank you for the question.
Physical examination will be necessary to give you good advice. What you describe as “minor sag" may or may not require some breast lifting to improve. Upon examination, experienced plastic surgeons can tell you definitively whether you will be okay without breast lifting. This examination focuses on the position of the nipple/areolas in relation to the inframammary folds and the degree of loose skin ( and skin elasticity issues) along the lower poles of the breasts.
In regards to breast size, it will be very important to communicate your size goals with your surgeon. In my practice I find the use of goal pictures to be very helpful.
Avoid the temptation to go with larger implants than you will be comfortable with to avoid the need for breast lifting.
Lift or augment
Determining whether you need a breast lift
One simple test that many plastic surgeons use is the "q-tip test": if you place a q-tip beneath the crease in your breast and it stays there, the sag that you have is at least moderately significant (i.e. it may require at least some lifting of the breasts). If you place the q-tip and it falls to the floor then you have passed the test and will most likely get a nice result with the augmentation. Your best bet is to consult with a board certified plastic surgeon who can look at your particular anatomy and make recommendations tailored to your body type.
Minor sagging and breast implants: can you avoid a lift?
For minor degrees of ptosis (sagging) up to 1cm, breast implants can work well. You may want to avoid larger implants as this can aggravate the amount of ptosis over time.
Re: Do I need a breast lift with only minor sagging?
If you have minimal sag then you probably will not need a lift. The easy way to determine this is to look in the mirror and if you can see skin below the bottom of the nipple areola complex and on the lateral view the nipple areola sits above the crease, then a dual plane augmentation will probably fill the small amount of ptosis. The dual plane approach does create minor rotation of the nipple areola upward which can be of benefit. If that is not the case then you in fact may need a lif.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.