Semi-sagging Breasts - Can I Get by with Just 420cc Breast Implants?

asked 1 year ago by ohyesiam in california
Latest answer by Robert L. Kraft, MD
Question viewed 1,637 times
Tags: sagging, 400-449cc, enlargement

Hi I am looking to do a breast enlargment using 420 cc implants, as you can see in my pics I have some sagging, I would like to be able to just do the enlargment at this time and not a lift, if and when the time comes for a lift I wouldn't be oppossed to it. Looking at the pics do you think it is advisable to go ahead with just an enlargment at this time? I do understand that an enlargment does not take the place of a lift and I am ok with my breasts sitting lower than what a lift would give me.

11 answers to Semi-sagging Breasts - Can I Get by with Just 420cc Breast Implants?

Implants instead of lift

The photos showing your hands over your head may not show the actual amount of ptosis. If the breasts are comparable to the photo with your hands at your sides, you may get a small amount of lift from just the implant. You may have some sag but it is a question of what you would find acceptable. The ideal operation is an augment/mastopexy but I understand that this is an expensive operation and that some patients are seeking to avoid the circumareolar scarring. Speak to several plastic... more

Robert L. Kraft, MD
New York Plastic Surgeon

Slightly saggy breast and implants

I think that as long as you understand that a breast implant will not lift your breast, that it is OK to proceed with just the implant. In time, due to the added weight, you will just be bigger and saggier. At that time, your lift might be one with longer scars, but you would have had some period of time without the breast lift scars. It will be a trade off either way.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Large implants in slightly saggy breasts.

If you are truly being honest with yourself meaning you do not mind larger but slowly low lying breasts, then you may be pleased with implants. Over time larger implants may result in a higher long term risk of sagging (ptosis) and I would suggest investing in a set of supportive bras if you undertake this option.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Re: Semi sagging breasts - augmentation vs lift

Unfortunately your frontal photo is taken with your arms elevated which distort things somewhat. The 420cc implants will certainly give you significant superior fill, I would approach this through a periareolar incision with dual plane placement of the prosthesis, and most likely a donut mastopexy. The donut mastopexy would diminish the size of your nipple areola which are somewhat enlarged, and not add an appreciable amount of scarring. It will also give you a result which will hold up... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast Augmentation first ,later lift if needed.

Based on the picture it is difficult to tell if a lift alone is all that is needed but an augmentation alone will improve there appearance. If the breast still sag some and you are OK with it then that is what is important. Some surgeons always think the perfect result is all that is acceptable but the one the patient likes is important also and many women do not want a scar around the areola ever. You should consult with at least one Board Certified Plastic Surgeon in your... more

Walter D. Gracia, MD
Arlington Plastic Surgeon

Breast implants and breast lifts

Although the photo is helpful, it is not taken in a way that can determine where your nipple sits in relation to the inframammary crease behind it. If the nipple is too low relative to the crease then an augmentation is not feasible or suitable and a lift is the only option. Implants do not lift breasts or nipple height relative to the chest wall and larger implants do not lift it more. Your breast has adequate volume and there is no way to determine from the volume in cc's alone... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Implants and a lift

It is difficult to say from your photos since your arms are also up in the air( I think?). An implant will just make the breasts larger, they will not lift them signficantly.

Steven Wallach, MD
Manhattan Plastic Surgeon

Just 420cc Breast Implants

Thanks for the posted photo, it helps! I would either recommend the 420's + a donut lift or a 500 cc without the lift. Best to see in person 3 boarded surgeons in your area so you can fully understand the operative plans. Called informed consent. Best of luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Augmentation first and lift when needed

By your photo it is hard to determine the exact height of the nipple in realation to the breast fold. You do have some breast laxity but it looks like you should do okay with just implants. Do the implants and let them settle into place and see how you like the appearance. You can always do a lift at another time when you are sure you need it. Best Wishes Dr. Peterson

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Breast augmentation

The way the photo you posted was shot with one arm raised higher than the other I cannot tell if you a lift (mastopexy) would be of any use to you. I am at a loss why you need breast augmentationor feel you need breast augmentation though. With the limited information in your post I am not sure I would be willing to perform a 420cc breast augmentation on you.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Augmentation with/without Lift

If you are willing to accept "some sagging", you could procede with an augmentation alone. Although a concurrent lift would give a better result, you have "burned no bridges" and could always have the lift performed at a later date.