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Do I Need a Lift If I Only Have Minor Sag to my Breast?

asked 1 year ago by plasticchick
Latest answer by Tom J. Pousti, MD
Question viewed 684 times
Tags: age 18-24, after pregnancy, sagging, B cup, implant size

im 20. i have had 2 kids and have some sag to my breasts (cup size small B) but its not bad, just minor. (or thats what it looks like to me) if i get larger breast implants, will that fix the sag i have? or will i need a full lift? i really dont think i would need a full lift, just bigger sized saline implants. so yea, if the sag isnt bad bad will the bigger implants work fine?

16 answers to Do I Need a Lift If I Only Have Minor Sag to my Breast?

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... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

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. more

David A. Lickstein, MD
Miami Plastic Surgeon

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)... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Lift or augment

Without photographs, we are all speaking in a vacuum but assuming that your breasts have just a little ptosis, or sagging, then an implant may elevate the breasts sufficiently so that a lift would not be necessary. An important factor is whether your skin is lax; if so, it may require resection. Definitely see a plastic surgeon who performs both procedures regularly for an examination and discussion of your options.

Robert L. Kraft, MD
New York Plastic Surgeon

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... more

Deason Dunagan, MD
Huntsville Plastic Surgeon

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. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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. more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast implants or lift or both

If the breasts have minimal sag and are just deflated than an implant may be all you need. If they are sagging significantly, then a lift will be required.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation alone may lift a breast

Breast augmentation will indeed lift a breast that is sagging after the birth of children, though the key is in the nipple position. As we commonly note breast lift is all about position of the nipple relative to the fold under the breast. If the nipple lies at the fold or anywhere above, the breast implant will tend to push the nipple up higher onto the breast. If this is the case a larger implant for you should be fine. Trouble can occur when the nipple is just below the fold as the... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Minor Sag to my Breast

A photo would have been extremely helpful to determine if only a larger implant alone than a lift with implant. My guess is ummmmm I really do not know without that photo.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Pictures and an exam needed to determine breast surgery

Without pictures and no exam it is difficult to tell what a patient will need.Implants can improve the breast appearance and they may be acceptable to the patient and still sag some. To be "perfect' or close to it a breast lift may be needed . You should have a consult with a Board Certified Plastic Surgeon.

Walter D. Gracia, MD
Arlington Plastic Surgeon

Please send pictures

The best answer will need examination or at least pictures. Patients with mild ptosis( nipple above the infra mammary fold) may have a good result with the use of the implants only.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Lift or implants for minor breast sagging

To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts... more

Michelle Copeland, MD, DMD
New York Plastic Surgeon

Breast "sag" and lifts

A definitive answer does require an exam and it is possible to measure whether the breast has sagged enough to require a lift (and an implant alone isn't possible). The limit is when the nipple is more than 2 cm below the level of the inframammary crease behind it. If the breast is not too saggy (ptotic) then an implant alone is the simpler solution at least for the present. The important point to understand is that implants do not lift breasts. The effect is an illusion that even... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Sometimes Implants Alone Lift Enough

Without examining you and seeing what your breasts look like, it is hard to give you an accurate idea of what it may take to get there. There are some women who have a small enough amount of sagginess that an implant alone will correct. The problem comes when surgeons try and fix significant sagging with larger and larger implants. Over time, that just leads to larger saggy breasts. Go for a consultation, and if your surgeon recommends a lift, I would follow their... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Lift or implants

Most patients with your description will have nice results with an augmentation only. The ability to use a mid- or high- profile implant will usually suffice to "lift" the breast and not require the added scars for a lift.