Breast Lift: Q&A
Ask a QuestionPossible to Go from Sagging C Cup to High A Cup with No Nipple Graft?
Would it be possible or likely to expect to go from a medium sagging C/D cup after nursing back to a high, small A cup and not have a nipple graft?
How much tissue needs to remain for the pedicle? Can it be shaped more flat with less curve?
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15 Doctor Answers |
Asked by
Momogrrl
in US
+1
Breast Lift for Sagging C Cup
The difference between a breast lift and a breast reduction is that in a breast lift only skin is removed and sometimes only the top layer or epidermal layer is removed. So there isn't a risk of blood supply to the nipple like there can be with breast reduction.
Because you need a substantial lift you'll need the "anchor" or "wise" pattern incision the extends around the areola, down vertically to the crease then in the inframammary fold. This allows for the greatest...
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+3
Nipple graft?
I´m kidding about the question, but nipple grafts are very rare in the breast lift plastic surgery community. Although we're all familiar with the technique, it's something that we did during residency and now we´ve all become more fascile with other, better techniques...certainly for someone with a D cup. Hopefully, nobody has recommended this to you, and if they have I might run for the hills!Your lift can be done using several techniques, reaching an A cup is fine but remember tha
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+2
A cup size is an unusual request in a breast lift
You can go quite small with a breast reduction procedure but there are scars involved. The scars would be all the way around the nipple and under the breast as well. I think a nipple graft is to be avoided unless there is no alternative, which is very rare.
If after your aggressive breast reduction there is still too much tissue for your taste then some judicious liposuction may be in order. It should be noted that your request is very unusual and body image issues may be something...
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Breast lift or reduction
To take someone from a "C" cup down to an "A" is not recommended. It may even be close to impossible. Maintaining the viability of the pedicle with the nipple does require some tissue, and the skin flaps need to have some tissue on it as well to survive. Unless you do a free nipple graft( which is really only done in extremely large breast reductions in women who have extremely long breasts( nipple to sternal notch distances usually exceeding 40 cms, and nipple to fold...
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+2
Breast lift for sagging after nursing and lactation (breast feeding) without implants
SEE VIDEO FOR MASTOPEXY WITHOUT IMPLANTS BY CLICKING "MORE":
It sounds as if you are experiencing pseudoptosis (false sagging) or severe involutional atrophy of the breast (shrinkage) following nursing and lactation.
Options for management are essentially a mastopexy without implants and removal of excess skin with elevation of the nipple and rearrangement of the breast tissue.
The vast majority of the gland can remain with removal of skin primarily.
see video
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Breast Reduction to Very Small Size?
Thank you for the question.
Nipple grafting will not be necessary in your case. This is usually reserved for patients undergoing extremely large breast reduction procedures; is rarely indicated these days.
Based on your question, it is clear that you have some understanding of the problems associated with trying to reduce the breast to a very small cup size. During breast reduction surgery is important to maintain the blood supply to all the breast tissue and the...
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Breast reduction from C-D cup to A cup
Having a breast reduction from a C-D cup to an A cup without a nipple graft is certainly possibe. Talk to your surgeon about his or her method of breast reduction, and what the risks are for loss of nipple sensation, loss of the ability to breast feed and risk of skin loss with the specific type of reduction surgery that he or she performs. Most breast reductions can be performed without having to remove the nipple areola complex and using it as a graft, but just because the nipple areola...
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Nipple grafts very rare
It has become extremely rare that nipple grafts are needed in either breast lift or reduction surgeries. The techniques commonly used can accommodate a very wide range of breast sizes and shapes. If your surgeon recommends one then get a second opinion.
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Breast reduction from C cup to A without nipple graft is possible
Breast reduction involves moving the nipple to a higher position and reducing breast tissue and skin. Your question is a great one because one of the things that limits our ability to make the breast really small is how much breast tissue is required to keep adequate blood supply to the nipple areolar complex. There are ways to design this remaining breast tissue, called the pedicle, so that the volume reduction can be maximized. In general, the greater the reduction, the longer the scars...
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Free nipple grafts
It is extremely rare to do a free nipple graft and I have never done one in a mastopexy situation. The only indication for these is in a case where the risk of nipple loss is too high using conventional techniques. These tend to be in huge reductions and in extremely long or thin breasts.
As in all cosmetic breast surgery, don't try to dictate a cup size, just ask the doctor to make you as comfortably small as they feel would be safe.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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