Sagging Breasts After Breastfeeding, Can Implants Make an Improvement? (photo) Doctor Answers, Tips
Breast Augmentation: Q&A
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Sagging Breasts After Breastfeeding, Can Implants Make an Improvement? (photo)

I have breastfed 4 children and am left with sagging breasts. I would like implants but not to keen on a lift. my nipples are 3cm above my crease and 20cm below my collarbone. I liked the full look I had when breastfeeding and would be happy with that. Is a lift absolutely necessary?

18 Doctor Answers | Asked by Kezuk
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Lift is NOT absolutely necessary

Hello Kezuk, thanks for your question! Based on your description of your breasts and your photos, I think breast implants alone will give you a great, natural look. It sounds like you're looking for a natural look without breast lift scars, so I think implants alone would be the best option for you. Of course, you need to meet with at least one board certified plastic surgeon who will examine you and discuss your situation in detail with you. Then, the two of you can make a plan for... more
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Sagging Breasts After Breastfeeding

If a lift is not consistent with your objectives and you understand the potential drawbacks, you may be able to proceed with just the augmentation. Consult in person with 3 - 4 experienced and expert board certified plastic surgeons to explore your options.
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Breast Lifting Necessary?

Thank you for the question. At first glance it may appear that breast augmentation alone will suffice. However, I think you may have significant loose/redundant skin along the lower poles of the breasts and will likely benefit from some breast lifting surgery. I would suggest that you pick your plastic surgeon carefully and choose the operation that will give you the best long-term result. Best wishes.

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Implants could work

From the description and measurements you provided, it seems like all you would need would be implants. A plastic surgeon would be able to make a precise determination during a cosnultation.
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Sagging breast

You should be good with an implant alone as long as the nipples are above the inframammary fold. If you are unhappy with the outcome, you could always do a secondary lift if needed. Donald R. Nunn MD Atlanta Plastic Surgeon.
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Breast augmentation for correcting sagging breasts after breast feeding

Many women experience the same problem. Their breasts sag and deflate after breast feeding. Sagging can be a result of simple breast tissue atrophy or a combination of breast atrophy and having stretched out skin that fall off your body. In your case, it appears that your breast sag is simply a result of breast tissue atrophy. You can restore your youthful breast appearance by replacing the lost volume through either a breast augmentation of fat grafting to the breast. These procedures will... more
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Breast augmentation alone will correct mild sagging.

Hi. 1) I don't know why there is so much uncertainty. You are straightforward. You do not need a lift and in fact would probably look worse with a lift (aside from the scars). 2) A moderate sized breast augmentation will get you what you want (and now we are doing an internal --scarless -- breast lift together with the implants). see video
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Post-partum breast atrophy

I think the answer to your question in part depends upon your expectations. I think that breast augmentation alone may be acceptable in your case, but you will have a relatively high risk of being slightly disappointed with the end result. If the implants do not settle into the base of the skin envelope, you might have skin and breast tissue that appears to be sliding over the front of the implant. This will be very notable when leaning forward. Or if your implants are positioned too low in... more
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No lift

Dear Kezuk, From looking at your pictures, I have good news for you since you dislike additional scarring . The implants will fill up the saggy skin and raise the nipples. Lowering the submammary crease will make the nipple appear higher and perky. Having, what's look like, broad shoulder, a full C or a D cup will look beautifull on you since you like the full look when you were breast feeding. Be sure to select an experienced board certified plastic surgeon who can show... more
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Sagging, deflated breasts, what are the best alternatives?

From your photograph it is apparent that you have some degree of breast sagging as well as a loss of breast volume. From your side view it appears that your nipple is just at or just below the crease behind the breast. Depending upon the size of implant used and the degree of your skin laxity a breast implant alone may be appropriate. If your skin is extremely lax, that is to say if you grasp the area around the nipple and pull forward and this stretches for greater than 3... more
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Breast lift question

Thanks for the pictures, A full side view is always needed. It appears that you have volume loss, ptosis and minor asymmetry. You also have a mild sternal depression in midline and a narrow breast diameter given your chest width. A submuscular augmentation and a lift procedure is probably the way to go. A gel implant may be better for you since it tends to be softer and wrinkle less. Please consult with a board certified plastic surgeon.
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Are your breasts "deflated" or "drooping"?

It is commonf or breast to change after pregnancy and breastfeeding. Most commonly, they "deflate" and "droop". The surgical solution depends on exactly what happened to your breasts. If you "deflated", then all you need is to "pump them up" with an implant. If they "drooped", it means that the nipple is now pointing down and you need a breast lift. It is common to need both implants and lift. So the key to deciding what surgery... more
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Sagging Breasts May or May Not Need a Breast Lift with Breast Implants. The Key Factor is....

Dear Kezuk- Thanks for the great question. This is a very common question, and the key factor is your nipple position in relation to your breast fold, or inframmary fold. Typically, a patient with the nipple above the breast fold usually does not need a breast lift, and should be able to get just breast implants, and undergo only a breast augmentation. To fill in your upper pole, or the loss of the breast volume at the top op your breasts above your... more
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Implant and deflated pre-op look

Your deflated breasts may be amenable to only an implant procedure, although an in patient exam would be critical.
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Deflated breast will breast implants help

It's is difficult to make a precise decision from photos alone. From the photos it seems you may be a good candidate for only a breast augmentation but it depends on how big of implants you may need and willing to have. The bigger the implants the greater the weight and the faster the sagging of the breast those requiring a breast lift earlier. It is not such a straight simple answer. High profile implants can give you more projection as well as fullness in the superior portion of the breast... more
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Implant v. lift

See a board certified plastic surgeon who can determine whether you can avoid the lift. I think this may be possible in your case but photos are not a substitute for clinical examination.
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A Breast Augmentation alone will work properly

Good question Kezuk. I think that an Augmentation Mammoplasty alone would work properly in your case if this augmentation is done using ANATOMICALLY SHAPED implants (for example 410 or 510 Style -Allergan-). Silicone gel prostheses preferred, 2-3 cohesivity. Your current simmetry (not only of preop volume, but in nipple-areola complex position) is the key of a good result after a BA surgery. The final appearance of the breast would be slightly "dropped", but I think this... more
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Breast Augmentation after breast feeding

If your nipples are 3 cm above your crease, according to the picture you have submitted, you have what is referred to as "psuedoptosis" and you could obtain a good result with breast implants without a lift. It would be critical for the surgeon to make the subpectoral pocket appropriately and for you to have appropriate underwire bra support fairly soon after surgery and avoid significant manipulations.
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