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Natural Saggy C Cup Breast Tissue "Removal" Prior to D Size Implants? Possible?

asked 1 year ago by looking up in Williams Lake, BC
Latest answer by Edward J. Domanskis, MD
Question viewed 1,236 times
Tags: breasts, female

I have a natural 34C. My own breast is soft and very saggy with the nipple at the crease. My skin has lost much of it's elasticity. I would love to have firm breasts again, but do not want implants that have my natural sagging tissue hanging off the bottom, creating an even larger more saggy look. Is it was possible to remove all my nautral tissue, and replace the volume with an implant of the same size C or slightly larger to fill the pocket? Is this too technical of a procedure to request?

17 answers to Natural Saggy C Cup Breast Tissue "Removal" Prior to D Size Implants? Possible?

Surgery for sagging breasts.

You have a very common problem that is seen daily in plastic surgeons offices. There really is no reason to remove your natural breast tissue before adding an implant, in fact this will make your result less attractive and lead to a higher incidence of complications. What you need is a breast lift to remove the excess skin of your breast and repositioning of your nipple and an implant to give you the overall size you are requesting. When this surgery is performed... more

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

Implants and saggy breasts

The correction for naturally sagging breasts is not to remove the breast tissue, but rather to resuspend and reconfigure the breast tissue while also elevating the nipple to a normal position. This is known as a mastopexy or breast lift. The placement of a breast implant to increase the volume of a breast is may be performed at the same time in select patients. However, if the lift that is necessary is significant, it is often safer to stage these two operations: First stage is to... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Sagging breast fix

Based on the description, you may be a candidate for an augmentation mastopexy. This is a lift with implants and is very common. Skin may be excised around the border of the areola (circumareolar lift), or you may need a vertical lift (often called the lolipop lift). Very saggy breasts require a wise pattern mastopexy. This results in an inverted anchor scar. Your lift may require excision of skin and minimal breast tissue along with placement of an implant... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Breast Lift and Augmentation

It sounds like you would need an augmentation and a lift. During the lift some times there may a be a small amount of breast tissue removed to improve shape and aid in closure of the incisions. Removal of all of your breast tissue is neither recommended or required. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Correcting Breast Sagging with Removal of Sagging Breast Tissue and Breast Implants is NOT a Good Idea

Regarding: "Natural Saggy C Cup Breast Tissue "Removal" Prior to D Size Implants? Possible? I have a natural 34C. My own breast is soft and very saggy with the nipple at the crease. My skin has lost much of it's elasticity. I would love to have firm breasts again, but do not want implants that have my natural sagging tissue hanging off the bottom, creating an even larger more saggy look. Is it was possible to remove all my nautral tissue, and replace the volume with... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Vertical breast lift will give you firm breasts.

Hi. You don't need implants. What you need is a good internal breast lift that does not rely on just pulling skin. Look up Lejour and Hall-Findlay techniques. They work very well.

George J. Beraka, MD
Manhattan Plastic Surgeon

Skin Rather Than Tissue Causes Sagging

There is no reason to replace your normal breast tissue with an implant. The sagging you describe is due to loss of elasticity (and an excess) of your skin. An operation similar to that you describe was performed often 20 years ago in women with fibrocystic disease and/or a strong family history of breast cancer and the results were not good. You should be able to achieve the result you seek with a mastopexy with or wothout a small implant.

John Whitt, MD
Louisville Plastic Surgeon

Saggy breasts and implants

Your description of your nipple position implies that you have significant sagging. Usually this occurs from skin laxity and/or heavy, dense, or condensed breast tissue. Removal of your breast tissue is not warranted. The drooping breast is made "perky" by a mastopexy (breast lift). Most often, an implant is used at the same time to fill out the desired volume at the top of your breast as well as increase your size.

Ricardo Izquierdo, MD
Chicago Plastic Surgeon

Breast implants in the sagging breast

With loose skin and nipple position at the level of the fold under the breast, a breast lift will be required to raise the nipple and tighten the skin envelope over the implant. Removal of breast tissue is another matter, and the implants will look best if all of the natural breast tissue is present to cover and hide the implant. A proper lift will tailor the skin over the implant and make them look and feel as one. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

How to build a perky breast

You must understand that you skin quality has a lot to do with your current breast shape. Skin that has lost its elasticity allows the breast to fall and sag. Even if all your breast tissue was removed, your skin quality would still be an issue, as your skin would now be supporting the weight of the new implant. It makes more sense to place implants to get you to your desired size, then do a breast lift at the same time. This will leave more tissue coverage over... more

Carmen Kavali, MD
Atlanta Plastic Surgeon

Breast surgery, implants, mastopexy,ptosis

It sounds like you would be an excelent candidate for implants with an uplift. Removing your own tissue would leave you with a worse result. I usually perform an uplift in a large number of my patients that I see, especially after children. Watch my videos and check out my unbelievable breast implant special.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Natural Saggy C Cup Breast Tissue "Removal" Prior to D Size Implants? Possible?

Read and re-read Dr Placik's posting. What you want is not what you need. I recommend, NO PHOTOS POSTED, a Full lift + implants. But better to see 3 boarded surgeons in your area. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

Sagging breastsa and implants

It osund slike you can use a breast lift with an implants. Your native breast tissue can be lifted to enhance the result of the implant.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation in case of inelastic skin

What you are proposing is not done commonly, unless one does a subcutaneous mastectomy for high cancer risk. The sagging breast tissue is not the problem, but the stretched out inelastic skin. If your nipple is at the level of your breast crease, you have pseudo ptosis, which can be improved to a certain degree with an augmentation only. Without the benefit of photos, I would suggest a vertical breast lift first followed by an augmentation. An alternative to an implant would be fat... more

George Marosan, MD
Bellevue Plastic Surgeon

Can saggy breasts be made perky?

I think you are not going to be at all happy with the operation that you propose. You would be far better off having an augmentation/mastopexy with modest sized implants. Large implants will only rapidly bottom out given the tissues that you describe. No operation will give you firm, high breasts-unless you develope significant capsular contraction which is another undesirable situation.

Ann F. Reilley, MD
Baton Rouge Plastic Surgeon

www.plasticsurgerybr.com

Augmentation of saggy breasts

I don't think you mean or really want removal of all your saggy breast tissue However, you will probably need a mastopexy or lift and possibly a combination reduction-lift-augmentation. The question is what technique to use and whether to do this simultaneously. These depend on a number of factors but it may be safe to do everything together even though some surgeons would advocate doing the lift first followed by the augmentation. Pick your surgeon carefully and he/she should lead you... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast reduction prior to breast lift

You are essentially speaking of a subcutaneous mastectomy with implant reconstruciton. This is a technique used in patients at high risk for breast cancer but not commonly used in the typical breast enlargement/lift case.