Treatment for sagging breasts

Mothers may find that pregnancy and breastfeeding contribute to loss of volume and firmness. If you're looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure without the need for general anesthesia.

Livy,

In most respects you don't have an easy starting point. Your breasts are very differently shaped and very differently positioned. On a realistic level you should not expect complete symmetry, rather two slightly different, but nice breasts. Of course, the goal is symmetry, but in your case I would not guarantee it. You definitely need a lift and the use of implants may minimize your scar requirements. Pick the two surgeon opinions that are most alike, then chose the surgeon that you feel most comfortable with between them. Make sure that he/she is board certified and experienced in managing significant breast asymmetries. Good luck!

Dear Livylive,

Of course, I haven't examined you, but based on your picture, I think I know what you need.

You need a lift on both sides, but you are right to stress the asymmetry. You need more of a lift on your left breast (right in the photograph) than on your right. This can be done with circular scars around your nipples, and the areolas should be made a little smaller and symmetrical. You don't need any other scars.

Then I would use round, smooth walled, MemoryGel silicone breast implants and the implants should go over the muscle. Again, without examining you, I would use a 200 cc implant in your left breast and a 225 cc implant in your right breast, which is somewhat smaller.

You are an easy case, and your expectations seem very realistic.

You have a very common problem that many postpartum women experience--loss of volume and ptosis (droopiness of the breast). It's hard to tell from just one picture but you most likely need an implant for volume enhancement and some sort of lift procedure for nipple repositioning. It may be possible to do a "doughnut" mastopexy but this requires a physical exam. As far as what kind of implant--this is best discussed with your plastic surgeon as there is a lot of material to go over.

Find a board-certified plastic surgeon that you click with and be optimistic. You will be very pleased with your postop results. Good luck!