Sagging Breasts Age 19. Lift? Teardrop Implants? (photo)
Doctor Answers (15)
Breast lift and implants for sagging breasts
Please read the link below. Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in breast lift surgery and who has an excellent reputation in your community.
Thank you for the question and the photos.
I think you would greatly benefit from a breast reduction which results in a natural slope to the breast. However if you prefer more fullness in the upper pole of the breasts adding a high profile round implant will be more appropriate.
Best of luck...
Congratulations on the weight lost. You clearly would benefit from undergoing a breast lift with implants. Although you are currently a DD, I would still recommend using an implant. The use of an implant would serve to give you a better shape and more upper pole fullness. It will not be used to increase your breast volume. There are some surgeons that prefer to perform this surgery in two stages, I disagree. I believe this surgery can be performed quite safely and effectively in one stage. The difference in opinion stems from the type of lift these surgeons perform. There are some techniques that make it unsafe to combine these procedures and some techniques allow for the combined performance.
In your case, I find no advantage in using a tear drop implants. There are certain cases where their use is appropriate, but not with you. As to the type of lift you should undergo, it should be performed with very little skin tension. These lifts relay on the blood supply coming from above. In this way, the bottom part of the breast tissue can be used to support the lift. Although many of these lifts can be performed without the horizontal incision, your breasts may require some horizontal component given your size and shape.
Ary Krau MD FACS
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Sagging Breasts Age 19. Lift?
Lift, yes. Implants, ??
A lift would clearly have benefits. You would probably need a full anchor pattern lift, and even those of us who commonly combine lifts and augmentations in one setting would think twice about the added risks in your situation.
I would start with a lift alone, and then if you really think you want to be larger, discuss it in six months with your surgeon, reviewing all the pros and cons.
When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified, but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.
DD cup and Needs Lift and Implant
If you already are a DD, I would hesitate to recommend an implant as that will only make you larger, which may have long term adverse health consequences. To create breasts that are higher and have more fullness, a breast lift can be performed. The breast lift can produce very nice shapely breasts. Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts and augmentations each year. Kenneth Hughes, MD Los Angeles, CA
Breast lift with or without implant
Also, you are probably not a good candidate for a shaped implant. Those work best for patients with a fairly good shape preoperatively. A round implant would be much more forgiving where you'd be having to take down a lot of skin and moving the nipple over the top.
Breast Sag Following Weight Loss
It’s not unusual for patients to lose breast volume and develop breast sag following significant weight loss. These changes adversely impact breast aesthetics and often negatively impact self- esteem and self- image. For these reasons, patients often seek breast lift surgery with or without breast implants.
Your pictures suggest the development of significant breast sag with excess skin and loss of breast volume. In this situation, bilateral keyhole mastopexies would address most of your aesthetic concerns. If you’re also concerned about upper pole breast fullness, a small breast implant would help address this issue as well.
If you’re considering this type of procedure, consultation with a board certified plastic surgeon would be appropriate. This surgeon should be able to develop an appropriate treatment plan for your problem.