Help Which Type of Surgery for my Larger but Sagging Breasts? (photo) Doctor Answers, Tips
Breast Lift: Q&A
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Help Which Type of Surgery for my Larger but Sagging Breasts? (photo)

Hi, I am 5'5 1/4 145lbs having a full TT and having a large softball sized lipoma from my shoulder in 2 wks time. I'd like to have my breasts fixed and at this time I'm a 34 D though I believe a lot of what I have is excess skin implants needed nor no? I've not yet asked my PS to do my breasts as per my other surgeries. However I want back my PRE baby body! I am 39 children are all 12yrs and older. I BF all 3 of them, I do have a small cyst in right breast (ultrasound /no problems w/cyst)THANKS!

33 Doctor Answers | Asked by LiveNLearnBhappy in Pennsylvania
+2

Rejuvinating large sagging breasts with minimal scars

Hi, Thank you for submitting photos. It appears you have sufficient breast volume to create perkier more youthful breasts without the need of implants or a vertical and infra-mammary scars. There is a new series of techniques developed using engineering principles to fully lift and anchor the female breast without all the disfiguring scars. You would be the ideal candidate for the Mini Ultimate Breast Lift technique. The only scars you would need would be solely around your areolas.... more
+2

Addressing Sagging Breast After Breast Feeding.

Great question and a common problem. You have a very typical appearance after breast feeding. You have a significant degree of ptosis or sagging. The least you will need is a breast lift, which is also called a mastopexy. You appear to have adequate breast volume for your body. If you are interested in increasing your breast size, then an implant would be needed. Best of luck. Dr. Berardi, M.D. Scottsdale, AZ
+2

Help Which Type of Surgery for my Larger but Sagging Breasts

You need a full lifting with or without a small implant. Best to read all the posting here to see each opinion.

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+2

Implants and Lift or Just a Lift

If you are happy with the size of your breasts, a lift is sufficient. If you want the breasts a little larger or more superior pole fullness, a small implant can be placed. The removal of skin for the lift will reduce the size of your breasts by a negligible amount. Kenneth Hughes, MD Los Angeles, CA
+2

Looks like a lift will do

If you feel you are too large, a small reduction with a lift will do, or just a lift. You do not need implants.
+2

Breast surgery

I think that you can have a breast lift and get a nice result with decent volume. If you want to be larger then you will need implants.
+2

Help Which Type of Surgery for my Larger but Sagging Breasts?

The breasts are low and the areola are large so you would definitely need a lift. If you would be happy with what looks like a C dup after the surgery then you probably do not need implants.
+2

Implants or Not

I would guess that you do require a breast lift but it is hard to determine if you have excess skin and not excess breast tissue as well. This is best determined by physical examination. Whether your plastic surgeon will perform all these procedures will be up to him or her. Dr. ES
+2

Best Breast Surgery for Me?

Thank you for the question and pictures. I think you will do well with breast lifting (plus or minus breast augmentation) surgery. Exactly which operation will best meet your goals, will depend mainly on what your goals are. For example, are you looking to mainly lift the breasts on the chest wall or do you wish to lift the breasts and increase volume/fullness as well. I would suggest that you communicate these goals with your plastic surgeon carefully. In my... more
+2

Breast lift

Hi thanks for the post and the pics. You would do well to have a full breast lift. Your breast size looks fine for your frame. The decision to have implants is based on whether you want to have bigger, or just perkier. This is something that most PS do commonly. Make sure your PS is comfortable with the amount of surgery at one setting. This is something that takes me about 4-5 hours to do at one time which is considered safe if you are otherwise healthy... more
+2

Full Breast Lift with or without Implants

If you plan to have all surgeries together keep in mind that recovery is going to be more intense but you will avoid going under anesthesia twice. Make sure you have plenty of help when recovering in the first three weeks. You will need a full lift (Wise Mastopexy, Anchor breast lift, Reverse T breast lift). For more fullness on the superior pole of your breasts you will need a small breast implant. But if you do not want an implant you could just go with the lift. Good luck! more
+2

Hold off on the breasts for now

You are biting off too much trying to add your breasts to your surgery. A softball sized lipoma and TT is enough for one day. You need a breast lift plus or minus implants depending on what you want but this can be stealth with later.
+2

Breast lift/augment

Honestly, I would focus on your abdomen first. You need a tummy tuck and I think you should first deal with this and then determine whether you should have implants in proportion to a flatter abdomen.
+2

Help Which Type of Surgery for my Larger but Sagging Breasts

If you wish to be larger, you should consider implants along with a lift. If you raise your arms overhead, simulating a lift, the breasts may appear smaller than in the sagging position. A call into your surgeon to set up a pre-op visit is in order. You don't want to decide this on the morning of surgery. All the best.
+1

Berast Lift with or without implants

HI, It appears from the photos that you have a fair amount of breast tissue. I would recommend a full lift alone for you. When your tummy is smaller and flatter, the breasts will also appear larger. Good luck Regards, Daniel Medalie
+1

Great candidate for a breast lift

If you are otherwise healthy, you look like you would be a great candidate for a breast lift. This can be performed with or without implants. The advantage of the implants is that they give your breasts more fullness on top. Good luck.
+1

Breastlift

To improve the shape and position of your breasts, you would require a breastlift. This procedure has the ability to elevate the nipple and lift the breast tissue to try and enhance your nipple forward projection. This helps to restore the breast to a more youthful position. The procedure will usually not be able to give you the upper breast fullness and roundness that some women desire. To achieve this you would need to consider an implant. If your overall... more
+1

Breast lift with Tummy Tuck

Great question. Many women like you express the same concerns of sagging breasts and loose abdominal skin after pregnancy. Tummy tuck and breast lift are commonly performed together to restore your pre baby body. If you want fullness in the upper pole of the breast, a small breast implant will need to be added with the lift. This will help to give you the cleavage you might desire.
+1

Implants for Size Increase and Lift for Sagging

If you want larger breasts with increased upper fullness then implants are indicated. You would need to have a breast lift as well. If you are happy with your current breast size then a breast lift alone should suffice.
+1

Breast lift for sagging breasts

Hi! Thank you for your question. I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). I am also certified with the American Board of Plastic Surgery. Breast surgery and tummy tucks are often done at the same operation. This is sometimes called the Mommy Makeover. These two procedures can be done safely together. Your recovery may be a little longer that if each is done... more
+1

What is the best procedure for this type of Sagging breasts?

I think the best procedure for you is a breast lift with auto-augmentation. It is difficult to maintain a long term upper pole fullness after a standard breast lift procedure. I use the tissue from the lower half of the breast and transfer volume to the upper pole of the breast, then an anchor scar lift is performed.
+1

Vertical Breast Lift Best Choice

Your best choice is a vertical breast lift with a "lollipop" shaped scar. I don't think you need implants as you have plenty of breast tissue to give you perky, youthful breasts that will better fit your slimmer figure.
+1

For sagging breasts, an augmentation/mastopexy works best

Wow, that is a large lipoma. Yes, you are a great candidate for a tummy tuck. For your breasts, I would recommend a vertical breast lift and simultaneous implants. The vertical lift will correct the sagging and the implants (small ones) will restore your lost upper pole fullness. You do not need to be any larger overall - your breasts just need more fullness up top and less on the bottom. Surgeons have tried pushing the breast tissue up to creat upper pole... more
+1

A Mommy Make over is what you are looking to have, definitely have your breast done at the same time.

Combining breast surgery with a tummy tuck and liposuction of your hips and abdomen is a great combination to do all at the same time. This is usually called a Mommy Make over or how to get your PreBaby Body back. If you are happy with the size of your smaller breast then a vertical breast lift with a little reduction of the larger breast will give you a great result. If you would like to be a little bigger then you could have implants at the same time.
+1

Breast size and perkiness

There are three issues to consider: size, shape and position. Size - If you feel your breast are large, a breast reduction can be utilized. Breast reductions include a breast lift as part of the procedure. Shape - If you would like more fullness in the upper breast, a low profile implant could enhance the shape. Position - To raise the breasts, a breast lift is used. The "ideal" result, and your desired result may differ, so be certain to learn the advantages and... more
+1

Help Which Type of Surgery for my Larger but Sagging Breasts? (photo)

Your plastic surgeon would love to give you back your pre-baby body. Remember, though, that we are talking about surgery, not magic. I would recommend for your breasts a vertical (or lollipop) breast lift with a small implant. The lift will decrease the size of your areolas and raise the level of the nipples. The implant will provide some fullness of the upper pole; this is very, very important to patients after a breast lift. I don't believe that breast tissue can be shifted... more
+1

Larger sagging breasts

Your photos show you to have good breast volume, but spread out. Unless you want larger breasts, a breast lift would serve you well. Implants would be needed for fuller breasts or more fullness on the upper part of your breasts. In my practice nearly all patients get a lollipop lift or vertical lift which improves the projection of your breasts. I would speak to your physician about that.
+1

Do you need implants with a lift?

If you are happy with the volume of your breasts, you can just have a lift and no implant. If you want to be larger or want at least a moderate amount of fullness in the upper breast area, then you should consider an implant. A lift will not fill this area as much as an implant will.
+1

Breast lift

If you are happy with the size of your breasts, then I would recommend doing a breast lift only. This will give you your pre-baby perky breasts back, without sacrificing any size. Good luck.
+1

Help Which Type of Surgery for my Larger but Sagging Breasts? (photo)

You have Ptosis (sagging) Asymmetry -left breast is larger than right,the left nipple is lower The areolae are large These can all be corrected with a breast lift A lollopop incision should be sufficient
+1

Breast lift

Hi LiveNLearnBhappy, Your best results will come from undergoing a breast lift with implants. I agree with you that you are currently a D cup due to the extra skin, not the actual volume of the breast. In a properly done lift, you will be smaller. Not only will your breast look smaller, but a certain amount of tissue will need to be removed. I strongly disagree with a pure skin lift operation. A lift that only removes skin... more
+1

Breast lift, no implants needed

You are probably going to be around a C cup after a breast lift. If you are okay with this, then you do not need breast implants. However, breast implants will give you a larger size, around a D but also will give you more firmness, roundness and perkiness, over a breast lift by itself. Adrian Lo, MD
+1

Breast Lift and tummy tuck

A tummy tuck will give you a slimmer,flatter abdomen. A breast lift will also give you perkier upright breasts and smaller diameter areola. Implants are only necessary if you desire larger breasts with more upper pole fullness. This will add expense and risk at the primary surgery.
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Comments (4)

Clarks Summit3299 16 Feb 2013
Don't forget to ask for the clit lift
LiveNLearnBhappy 16 Feb 2013
THAT'S one of my main goals!! I told you having it lifted up high would make sex life so much better!!!! Just like when we were young only BETTER!!! Our spouses are lucky!!! xoxo
Clarks Summit3299 16 Feb 2013
I say go for it!!! Besides, I'm sure you must have a really good friend who is willing to help you out in any way:):):):):):):)
LiveNLearnBhappy 16 Feb 2013
Thank you perky!!! I see a couple dr's said to wait till afterwards... Care to take some more time off to help me? LOL!!!! :-)

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