Will Under the Muscle Dcup Breast Look Good on Me? Ptosis No Lift (photo)

My PS said I need a lift however in my pencil test it barely stays there before falling and my nipple is above the pencil. I cannot afford to do a lift and really do not want the scars. My PS is planning on doing complete unders, all 4 muscles and a saline implant. That is the only position he is willing to do on me. I'm afraid that I will never look good because I cannot get a lift. Based on my pictures and description, do you think the under the muscle implants will look good? Nip above pencil

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6 Doctor Answers | Asked by minkygurl

Doctor Answers (6)
Community Comments (1)

Will Under the Muscle Dcup Breast Look Good on Me? Ptosis No Lift

Size issues are best resolved at a live consultation. Your own anatomy may limit the sensible implant choices available, as your surgeon can explain. From the photos alone, I think you would do better with a lift, but if you are willing to accept low nipples and areolas, implants alone may give you a satisfactory outcome. Thank you for this question, best wishes.

Is breast lift needed?

Dear Minkgurl. If your nipples are above the inframammary folds, you have "psuedoptosis" (which means "fakey droop") and not true "ptosis". I don't think you need any sort of lift as long as you are OK with your nipples being low. If you want a peri-areolar (or "donut") lift after surgery to raise the nipples higher, that can easily be done with local anesthesia with you awake. If you look on my website in the photos section; there is a breast augmentation... more

D cup under the Muscle and No Lift

A D cup may push your anatomical limits, but I believe that enough volume can be placed to make you happy without a lift. I perform transumbilical augmentation without a scar, if the patient does not have an umbilical hernia. Examination always needs to be done in person with a thorough consultation with a board certified plastic surgeon.

Augmentation without a lift

To start, it would be more helpful to have a true side view as opposed to one looking up. This would help me to better appreciate the extent of ptosis. That said, if you are placing a large implant under the muscle and I would go only under the Pectoralis as this will allow the implant to drop and fill the lower pole more effectively. if placed totally under muscle, I fear the muscle will hold the implant up and the breast tissue will hang off the implant. These are... more

Breast implants under the muscle

While I place implants under the muscle, it is not full coverage and I release the muscle along the infero medial aspect so that the implant sits under the breast. Full muscle coverage will keep the implants too high. If you need a lift then a lift is required.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Will Under the Muscle Dcup Breast Look Good on Me? Ptosis No Lift

In my opinion based ONLY on the posted photos I would recommend a lift + implants. But better to obtain in person evaluations.

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Comments (1)

minkygurl 3 Jan 2013

Thank you. I am going in for preoperative appointment in a couple weeks at which time the actually final decision will be made on size. I guess bigger isn't always better.

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