Implants on saggy breasts? (Photo)

Hello and thank you for your question. You are a candidate for a breast
augmentation without a lift.  The size 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.  This entire surgery can be performed with a
small incision technique.  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.
Harvard-trained plastic surgeon

From the photographs it looks like you have
approximately one and a half finger breadths of sagging in your breasts. An
important consultation will help decide whether you will get enough lift from
implants alone. If you are thinking 600 cc's, chances are you will get enough
rest. The critical point to make here is that I highly recommend that you have
the implants placed on top of the muscle around them underneath the muscle to
achieve maximum lift potential to the gland from the implant itself

I have operated on many cases like yours. Correcting the ptosis only with breast implants is a challenge for this type of surgery.

There are some limits regarding the grade of ptosis when we want to lift a breast with augmentation only.





Your case is border line and is very difficult for somebody to tell if with special techniques only (not classical augmentation), breast lift could be obtained without the typical scars of mastopexy.





I think that you are slightly beyond the limits and you will need some type of mastopexy.





If this is a problem for you, I would try with breast augmentation only, using specific techniques and a few months after, if the lift obtained is not enough, I would do a complimentary small operation under local  anesthesia, in the office, in order to lift slightly the nipple.





I hope my opinion is useful to you.

Thank you for your question and photo.  A breast lift with implants would give you the best result.  Your not a good candidate for high profile implant looking at your breast anatomy from your photo.  Please consult with a board certified plastic surgeon to fully discuss your questions.  Best wishes.

Thank you very much for enquire.After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection, and 450ml will be excelent on you, to fill the breasts properly.Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".Respectfully,Dr. Emmanuel Mallol Cotes.-