What can I do about restoring the fullness to the top part of my breast without adding implants? (Photos)

Question

I’m 28, 5’5 155 pounds and have a H cup. 1. Is it possible to leave my nipple where it is? I don’t want to have those perfect circle high nipples patients usually have. They look so unnatural. If they have to be moved, what are the risks of losing sensation/not being able to breast feed? 2. What can I do about restoring the fullness to the top part of my breast without adding implants? Would fat transfer be an option?

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall and your nipples are pointing downward.  Unfortunately, you have not told us your bra size.  However, you would benefit from a breast lift and reduction using The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, M.D.

Edwin C. Pound, III, MD · Answer

Based on your pictures, I would recommend that you have a breast lift with or without a slight breast reduction.  If you are an H cup now, you certainly don't need any more volume (which is what an implant would give you).  No implants.  With almost all breast lift procedures, the nipple is left in place so that you should be able to breast feed afterwards if that is a consideration.  Of course, a pregnancy would possibly change your results.  There is a risk of losing sensation to the nipple either temporarily or permanently with a breast lift.  Fat transfer might be an option after the breast lift if needed but I don't think you will need it.  Repositioning the breast tissue that you have now should give you the upper pole fullness that you want.

Urmen Desai, MD, MPH, FACS · Answer

I recommend a reduction/lift.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Daniel Barrett, MD · Answer

Dear kramos88,
if you want to avoid breast implants, fat transfer might be an option. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your photos are not helpful and do not show your whole breasts. I would suggest going for a consultation and discuss options like a fat transfer. Fat will not correct sagging, and fat volume is limited.

What can I do about restoring the fullness to the top part of my breast without adding implants? (Photos)

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What can I do about restoring the fullness to the top part of my breast without adding implants? (Photos)

Answers (8)

Answer: Breast lift

Answer: Breast lift

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Lift

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