What procedure for mother of 1's breasts? (Photo)
Doctor Answers 20
Breast lift with implants
Breast Lift is a must
The easy way to decipher what each procedure produces is that implants increase breast volume and add upper pole fullness. Implants are placed in either a subglandular or subpectoral pocket centered over the left and right chest breast footprint. In your case, because your skin appears thin, I would recommend subpectoral placement. When you have ptosis/sagging, where the nipple-areola complex is at the fold or lower, your breast will continue to hang off of your chest onto your upper abdomen even after implants. In fact, in patients with such sagging who undergo an augmentation without a lift, their breast tissue hangs off of the implant that is sitting on their chest, creating a shape like Snoopy's nose, hence called a "snoopy" deformity. Implants can not give a therapeutic lift and taking shortcuts will only lead to suboptimal results. In some borderline cases of ptosis, breast augmentation can be performed and if there is unsatisfactory sagging, then a lift can be performed later at a second stage, but in your case, an in person examination with a board certified plastic surgeon will be most instrumental in going over your lifting options in conjunction with implants.
Two lifting techniques that are very good ones in the right patient and I use are based on the following:
1) if it is mainly the nipple position that needs lifting, I like the circumareolar approach (also called a donut lift)
2) if a large portion of the breast tissue/weight needs to be lifted, a circumvertical and sometimes a full anchor incision is needed as the circumareolar approach in my mind is not strong enough to hold the weight of the breast and results in stretching of the areola and drooping over time.
Click on the link referenced below and scroll down and the two examples listed are of patients whom had both mastopexy and augmentation and you can see one patient in whom the circumareolar approach was sufficient whereas the other needed the circumvertical incision. I hope this helps you!
Dr. Sean Kelishadi
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All the best,
Postpregnancy issues with breast shape
Because the nipple is below the crease beneath your breast, most surgeons are going to recommend a breast lift, to reposition the gland and nipple (I agree). This typically makes your breast cup size slightly smaller, and does not provide much fullness in the upper pole of the breast (i.e. cleavage). To be fuller or to have more cleavage, you may want to talk to your plastic surgeon about implants. An implant alone will likely make your breast look even saggier, and will stretch the tissues more over time. Please resist the urge to have a large implant placed to "fill the loose skin"-- this results in sagging, more atrophy of the breast due to the weight of the large implant-- the lift involves some additional scarring, but the results in terms of shape are worth it.
Erik Hoy, MD
Significant ptosis of the breast cannot be camouflaged by breast augmentation.
What should I do?
Breast lift with Breast Augmentation
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