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Should I have work done to my breasts? (photo)

I'm a 23 yo 5'4 145 lbs 34G breasts. I've always liked having large breasts but since I lost weight they've gotten more saggy. I love the fullness & perkiness of fake breasts, but idk if just a lift or augmentation will acheive the look I want. Also, I haven't had children yet & plan to when I'm older - will that affect any surgeries? Lastly, I've shown my bf before & after pictures & he hates the scars that lifts leave. Any advice? Thanks

Doctor Answers (32)

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Breast reduction only

Dear potential breast surgery patient,
     Thanks for submitting your pictures. It is my impression from your pictures that you  are more DD than G, but that can be easily confirmed by measurements of your chest and breasts circumference. You have severe breasts ptosis ( droopiness ) and if you like them to be perky , breast implants will not do it, moreover they most likely will aggrevate it. The only option to achieve that goal is a lift procedure. There are different techniques and my prefered one is the key hole method. In your case, because of the large size, I would recommend also  breasts reduction for better and more durable result. As far as the scars, for those of my patients who had the surgery it is not an issue. For those of my patients who refused the scars the result was less than optimal in my opinion. With time the scars mature and become much less noticable while the beatiful breast remain with you for a long time. Always, consult with board certified plastic surgeons and check their before and after pictures to make sure that you like the results.
                Best of luck,
                                       Dr Widder

Web reference:

Washington DC Plastic Surgeon
5.0 out of 5 stars 40 reviews

What to do about your breasts?

All great questions and your concerns are not uncommon. You've recognized the unfortunate reality that the beauty of large breasts at a young age does wane with time as breast naturally begin to fall and sag. The larger your bust size, the younger the age that the look of saggy breasts develop.

The answer to you query as to which surgery is the correct one for you can be found by answering the following: When you're wearing a bra, are you happy with the size of your breasts and the appearance of your silhouette? Do you wish your breasts were larger? If you're pleased with your breasts when they are supported by a bra, then your an excellent candidate for a breast lift (aka....mastopexy). If you'd like to have somewhat larger breasts, then an augmentation and a lift would be the right choice for you (aka....augmentation-mastopexy).

You're correct in noting that augmented breasts do not look the same as natural breasts. Implants provide distinct upper-breast fullness that cannot be achieved in any other fashion....not even a natural breast that has been lifted can appear this way.

You're also correct in that any breast surgery will leave scars, however, some surgeons like myself perform "verticle-scar mastopexy" which minimizes incisions and scarring, leaving only the so-called "lollipop scar". These scars are extremely well camouflaged and largely imperceptible after the scars mature.

In regards to pregnancy post-operatively, there is no adverse effect from an implant or a lift other than the potential for slightly decreased breast milk production (any surgery of the breast that cuts breast tissue will leave scarring in the breasts that can render those areas of the breast less effective at milk production). This doesn't mean that you are unable to breast feed.

A few more pieces of advice worth noting:

Choose your surgeon wisely! Locate a Plastic Surgeon, Board Certified by the American Board of Plastic Surgery and schedule a consultation. Bring photos with you that show breasts that you find most attractive (I always ask my breast consultation patients to do this). This will help you clearly communicate to your surgeon exactly what aesthetic goal you're trying to achieve. He or she can then discuss realistic options to help you obtain that goal.'re decisions about your body are ultimately up to you and you alone. The decision to seek plastic surgery is entirely about you.....the happiness and self-confidence that you feel with your body and it's image. We all want the support and acceptance of our friends and significant others, but ultimately your the one who lives in your skin. Do what's right for you. Your boyfriend may come to understand that if you're happy with the way you look, that pays dividends all around. I'd also argue that the result of a well performed breast surgery is far more attractive than the pre-operative appearance every time.

Best of luck!

Newburgh Plastic Surgeon
5.0 out of 5 stars 2 reviews

Should I have work done to my breasts? (photo)

You definitely can use a lift with a small reduction.  The reason why you need a reduction is because even if you lost a cup size or two from a 34G, you probably still are at DDD or DD.  That speaks for heavy breasts, and the heaviness will cause your breasts to sag again if you get a lift alone.  Getting an augmentation with this size breasts?  The most ridiculous thing you can think of!  What would be the purpose?  At any rate, if your boyfriend "hates" the scars from a reduction/lift, don't even think about it and just live with what you have, because no surgeon can predict how you will heal and what your scars will look like. 
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 8 reviews

Breast lift scars

If you feel that your breasts have become too saggy, your options are two:  you can have a lift/reduction or you can have a breast lift combined with an augmentation.  In both cases, you would have to accept the scars that come with breast lift surgery.  The scars do  fade over time , but they are permanent.  That is a trade off that you must be comfortable with before the surgery.  As you know, most women experience some increase in breast size with pregnancy,  if that happens in your case, it is likely that your need for a lift procedure will be even greater then.  It might make the decision a little easier if you knew that at some point, sooner or later a  lift will be necessary.  If you accept that reasoning,  you could justify doing the lift procedure now and enjoying the results sooner.
Good luck,
Dr. Hargrave
Albany Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast Enhancement Surgery

If you want improved shape and contour I would suggest a classic anchor pattern breast lift, the scars are the tradeoff for the shape
Toronto Plastic Surgeon
5.0 out of 5 stars 24 reviews

Only you can decide if the scar tradeoffs in breastlift surgery are for you

the only way to get to the look you say you like is with a mastopexy.....which requires trading some scars for eliminating the sagginess. implants alone would not be a good idea at all and would result in a bigger and saggier appearance. you may decide that the best decision for you is to do nothing at all....but you are the only one who should decide which way to go.
Schenectady Plastic Surgeon
4.5 out of 5 stars 10 reviews

Ultimate Breast Lift(TM)

You are an excellent candidate for a new technique called The Ultimate Breast LiftTM. This technique avoids the ugly vertical scars of the lollipop or boat anchor shaped incision, maintains nipple sensation and the ability to breast feed. The breasts are reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Implants are not necessary if you are a size G.

Best Wishes,

Gary Horndeski, M.D.

Web reference:

Texas Plastic Surgeon
5.0 out of 5 stars 109 reviews

Should I have work done to my breasts?

The implants alone will not give the lift. 

For the lift, I typically start with the smallest incision and custom tailor each breast lift to the shortest scar possible.

Find a board certified plastic surgeon who performs hundreds of breast augmentations and breast lifts each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Web reference:

Los Angeles Plastic Surgeon
5.0 out of 5 stars 147 reviews


Thank you for the pictures.

I think that your breast will look much better if an anchor breast lift and areola reduction is made. I don't believe you'll need implants because it seems that you have enough breast tissue to work with.

Dr. Campos
Mexico Plastic Surgeon
4.5 out of 5 stars 131 reviews

Size matters

If you are happy with your cup size and shape in a bra, then a breast lift or mastopexy is the procedure of choice for you.  The trade off is scars, but there are no long term maintainance issues that exist with implants.  If you desire an increase in cup size, then volume has to be added with implants or fat grafting.

Web reference:

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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