28 with no kids, lost 50 lbs and hating these granny boobs. Can I achieve my wish pic look with just implants? (photos)

Hi newb00bs12311,

Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position.

Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift.

These two surgeries can be done at the same time and this may be optimal as the risks can be minimized. 

In addition, upper pole fullness is achieved with appropriate implant selection but more importantly, submuscular placement, and precise pocket dissection. The submuscular placement allows the muscle to cover the top part of the implant which allows the upper pole to appear fuller. Keeping away from the lateral chest during pocket dissection allows the implant to remain higher and prevents it from falling off to the side.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

hello thank you for your question and provided information as well...based on the photo shown. I see that you are a good candidate for a breat lift with implant. in your case to know how many cc is advisable a consultation in person with a plastic surgeon.

In my practice, sometimes young moms have a few kids and then lose weight but their breasts make them look really much older. Sometimes, when the skin quality is poor with stretch marks and the breast is deflated with low nipples, a breast lift or mastopexy will need to be done even with breast augmentation. In this case, it is best to see a board certified plastic surgeon with many years of experience and a focus on breast.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, the best shape and contour could be achieved with an implant
and a breast lift. Your nipple sits below the inframammary fold and
without a lift in addition to the implant, this will not have a natural
shape.  A breast lift with an implant can result in a very nice shape if
good technique is used.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Hi. You have a degree of ptosis (fallen of the breast) that demands lifting for correcction. Your Nipple-Areolar Complex (CAP) is almost looking down, so you need a breast lifting technique with silicone cohesive gel  implants to be place under the pectoral muscles, to avoid migration and get a very natural look. As for the photos you posted, except the last one, the breasts you showed are  pseudo ptosic breasts (semi fallen) as you can see the upper poles are empty, and that is not an ideal correction.
International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)

Many thanks for your question and pictures.
It is my opinion, based purely on your pictures that you will NOT get the desired look you want with just implants - your nipples are too far below the inframammary fold (crease where your breast meets your chest wall) - implants do not provide the lift, only adding volume.
It is my opinion that you will require a lift in addition to implants to get your desired look.
I recommend that you see at least one Board certified Plastic Surgeon to discuss this with and who can examine you in person and give you your options.
I wish you the best of luck.
Marcus

There are numerous options: implants alone, implants and a variation of a lift, implants and a crescent elevation of the nipple-areola, implants and a donut mastopexy without the incisions of a full lift. They each produce different degrees of cosmetic improvement.

Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift.



Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result.

Robert Singer, MD FACS

La Jolla, California

Thank you for your question.Based on the pictures you have provided, it appears you have more sagging than can be addressed by an implant alone. If you were to just have an implant placed, you would end up with your nipple/areola being at the bottom of your breast as opposed to the center where it should be located. The implant would give you an increase in projection/size but not the lift you need.To achieve the results you would like, you will need and implant with a lift to address your breast sagging and lack of fullness. This will involve an incision that goes around your areola and down the middle of your breast (sometimes referred to as a lollipop incision). This procedure will allow you to achieve your goals of having perky, lifted and full breasts.Although the scars are visible they will fade over time. The incisions are strategically placed so they will not be visible in a bathing suit or when wearing a top with a V neck.Good luck!

Hi and thank you for your question!  It looks like you have a moderate degree of breast ptosis (ie sag) and it would be difficult to get what you are looking for with implants alone.  The pictures you like are of breasts with little or no breast ptosis.  This usually means you would need a lift either in combination with implants or during a separate procedure.  Best to talk to a plastic surgeon, good luck!