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Possible to Go from Sagging C Cup to High A Cup with No Nipple Graft?

asked 2 years ago by Momogrrl in US
Latest answer by Tom J. Pousti, MD
Question viewed 998 times
Tags: breasts, nipples, after pregnancy, sagging, C cup

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?

15 answers to Possible to Go from Sagging C Cup to High A Cup with No Nipple Graft?

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 more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

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... more

Talmage J. Raine, MD
Chicago Plastic Surgeon

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... more

Steven Wallach, MD
Manhattan Plastic Surgeon

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

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

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... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

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... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

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.

Dean Fardo, MD
Atlanta Plastic Surgeon

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... more

Elizabeth Lee, MD
Bay Area Plastic Surgeon

artfulsurgery.com

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.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Reduction without Nipple Graft

Nipple grafts are really not used any more these days. And it does not sound like you need a nipple graft. But there is a limit to how small you can make a breast. You need some breast tissue behind to supple the blood to the nipple and areola complex. It is difficult to tell how much you would need remove and if it is possible to make you that small without a proper exam.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Nipple grafting is a rare surgery

I think you are asking not about nipple grafts but if there are scars around the areolar complex with lifting. The simply answer is yes, always. But if you really meant nipple grafting, I agree with most of the other expert posters, it is a rare surgery these days except for breast reconstruction after mastectomy. Hope that helps.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Totally Possible to go from sagging C cup to A-B cup with no nipple graft

Nipple grafts are relics of the past. They are used mostly in VERY large breast lifts or reductions when the ripples are located a very far distance from the mid collar bone notch. In your case, I would suggest you ask for a short scar Hall-Findlay Breast lift (Mastopexy). It would give you full, perky breasts with minimal scarring which would last a long time. REMEMBER - although they use a lollipop scar - a regular skin tailoring breast lift IS NOT a Hall-Findlay Mastopexy in which the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Nipple graft not needed for breast lift or reduction.

Hi! 1) We never use nipple grafts because they are not necessary and you lose nipple sensation. 2) You can have an A cup with perky shape and a lollipop scar. The nipples are left completely attached to the nerves, blood vessels, and breast tissue. The nipples are simply slid upward. 3) The key is to shape the breast INTERNALLY, and not rely on tightening the skin.

George J. Beraka, MD
Manhattan Plastic Surgeon

Reduction without nipple graft

In my experience, nipple grafting with breast reduction is most uncommon lately. There are a variety of techniques available now that can give a very nice result without nipple grafting. All breast reductions should have as a fallback position during surgery the nipple graft but its use should be rare.