Breast reduction and lift. Will they be perky or would I need to put implants in?

Question

Im currently a size 34h and would like a reduction to about a D-DD. Will they be perky or would i need to put implants in? I really dont want them to sag.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BBL Always insist on a board certified plastic surgeon.

Brian M. Derby, MD, FACS · Answer

The typical goals for breast reduction surgery are narrowing the width of the breast, removing excess tissue, decreasing how much the breast projects from the chest wall, and elevating the droopy nipple. Perky is optimal, but not typical in the long-term following reduction surgery. You may wish to consider an addition-subtraction operation which removes tissue on your breast where it's in excess, and adds an implant for upper pole fullness/perkiness where you need it. Best of luck.

Gary M. Horndeski, MD · Answer

Hi, There's been great strides made in the breast reduction/lift technology. The Horndeski Method uses your own tissue to create upper pole fullness without adding the extra cost, risks/complications and maintenance associated with breast implants. The dreaded vertical incision component has also been completely eliminated. Long term results are the hallmark of this technique due to incorporating your chest muscles to help keep the newly positioned breasts high and perky. Take a look. Best wishes,

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  Best of luck!    Dr. Schwartz Board Certified Plastic Surgeon#RealSelf100Surgeon #RealSelfCORESurgeon

Anna I. Wooten, MD, FACS · Answer

Hi and thanks for your question.  I think you would see and feel great improvement in doing a lift without implants.  You could always consider having some of your own breast tissue moved up to give you some fullness in the upper pole of the breast.  This way, you would have the look of implants without the maintenance.  In my practice this is called the Brazilian Breast Lift.  Always make sure you are seeing a board certified plastic surgeon. Best of luck.

Peter E. Johnson, MD · Answer

The purpose of breast reduction for most is to alleviate neck and back pain, and be able to wear comfortable clothing, and exercise freely. A breast lift is the additional bonus from reduction as you see in so many photos before and after and later sagging is unlikely for most. Implants add to the weight of the breast and might go in opposite direction of your goal.

Jack Peterson, MD · Answer

Your nipple/areola complex will be back to "up". I would not recommend an implant because the point of a breast reduction is to minimize the weight of your breasts to improve medical issues like back, neck and shoulder pain.

Daniel Krochmal, MD, FACS · Answer

Thank you for your question.Without pictures, it is difficult to say exactly what type of surgery would be needed to get you the result you desire.  In general, a breast reduction also makes breasts more perky without the need for an implant.  I recommend consulting with a local/regional plastic surgeon who will evaluate you and discuss your options.Best,Dr. Dan KrochmalMAE Plastic SurgeryNorthbrook, IL

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your description, you sound like an excellent candidate for breast reduction surgery. It will be important that you select your plastic surgeon carefully and communicate your goals carefully as well. I would suggest that you avoid utilizing cup sizes as a reference when it comes to goal communication; this can be a source of confusion and miscommunication. The use of goal photographs and computer imaging may be very helpful during this communication phase. I would also suggest that you not consider having breast implants placed at the same time as a significant breast reduction/lift is performed. Hopefully, you will be pleased with the results of the breast reduction and not "require" breast implants. Of course, much will depend on what you mean by "perky"…

My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as discussed above. Working together you will come up with a good plan to achieve your goals. You may find the attached link helpful to you as you learn more. Best wishes.

My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as discussed above. Working together you will come up with a good plan to achieve your goals. You may find the attached link helpful to you as you learn more.  Best wishes.

Breast reduction and lift. Will they be perky or would I need to put implants in?

Answers (9)

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