Breast Augmentation: Q&A

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What Are my Options? (photo)

Hello everyone! I'm 5'7, 160 lbs, 23 year old and I'm a 34C. I'm interested in getting a breast lift and augmentation, possibly without scars. However, my breast sag too much in my opinion and I'm wondering if it will be possible to avoid getting a lollipop or anchor incision. I really want to know what y'all experiences have been with patients like me before seeing doctors for a consultation. What options do I have, if any? Thank you!

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14 Doctor Answers | Asked by Laurel in Maryland

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You are not the only one

Thank you for bringing forward a very common concern and sharing your personal photographs. Your breasts appear saggy because the infra-mammary fold (where your breasts join your abdomen) is high and your breast tissue has draped over. Your nipple and areolae are not centered, so at a minimum, an incision around them will permit lifting, to re-centralize them and make you more balanced. A higher profile implant gives you some additional lifting. I think you can avoid the... more

Options for breast augmentation with lift

Thanks for sharing your photos. Based on your photos, you will most likely need breast augmentation with circumvertical (lollipop) lift. Although no one wants scars on our breasts, scars will result when we cut into breast skin/tissue. It is better to have a longer scar than a small scar that stretches and doesn't heal well from too much tension. Unless you have personal or family history of keloids, scars on breasts usually heal well. Good luck to you. more

Breast options

Thank you for posting your photos. Although a formal physical exam is needed to make any recommendations, I would likely suggest a breast augmentation with a circumvertical lift (lollipop scar). I know some women are concerned about scarring associated with a lift. However, to correct the sagging and improve the nipple position, you will need some form of scar to acheive that much better form. Please visit with a board certified PS to learn more about your options... more

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Best Breast Surgery Option for Me?

Thank you for the question and pictures. Although it is not possible to give you precise advice without direct examination and a full communication of your goals, I think you will likely be best off undergoing breast augmentation surgery along with a “vertical” mastopexy. This operation would result in a scar around the areola and vertically (“lollipop"). Sometimes, the presence of scars is a “dealbreaker”; patients would prefer to leave their breasts unchanged... more

Always choose the incision(s) that will give you the best shape and result

Hello, Thank you for the photos. Your main options are the following: 1) breast augmentation with purse-string breast lift (doughnut) or 2) breast augmentation with circumvertical breast lift (lollipop). They will both improve the volume of your breasts and the position of your areolas. Option #2 is the only option that will also improve the shape and position of your existing breast tissue that is located below the level of the breast fold. If you desire... more

The fastest way to happiness is acceptance of reality

Hi there- It is going to be very important to your safety and happiness over the long term that you first accept that your breasts are very droopy (your nipples are pointing at the floor in the photos you posted) and that this cannot be corrected without a breast lift- and that all breast lifts produce scars... The idea is to do everything possible to achieve a very thin and inconspicuous scar (this is another topic altogether). Once you've accepted that, you need to understand the... more

What Are my Options?

Wishing and obtains the ideal result are in your case two different things, sorry. In my opinion based upon the posted photos you need a full lifting plus ultra high profile implants. Again sorry.

Breast Lift or Breast Lift with Implants......

I wish there was a "Scarless Surgery" option. Unfortunately, surgery involves cutting of the skin which always results in scars. A breast lift is a trade.... drooping deflated looking breasts without scars for perky, full nicer shaped breasts with scars. No one likes scars, including me. We always do everything we can to minimize how many and how long the scars will be as well as to make the best scar possible. However, your body is what makes the scar... more

Mastopexy scarring

Unfortunately, scarless surgery is a fantasy. Scarring occurs whenever the skin is cut full thickness. Everyone scars differently and some patients have scars which fade such that they aren't noticeable but no one can promise you this. I think based on your photos, you would benefit most from the lollipop procedure. See a board certified plastic surgeon to discuss alternatives.

Best lift for me

Breast lift always involves a scar, and for some that can be unacceptable. You might have an implant alone, however with the nipple just below the fold there is a risk that the implant will push the nipple lower, a rather mature look for 23. The lift you choose will depend on the distance the nipple must be raised, and your peception of a scar you can live with. The around the nipple approach will raise the nipple 2-3 cm, the vertical lift which is less prone to relapse 3-4 cm, or even more.... more

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