Would like a BA with a lift. Is removal of breast tissue typical for larger breast that have sagged? (Photo)
Doctor Answers 15
Augmentation Mastopexy With Tissue Removal
If you're considering this type of procedure, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your concerns and avoids the unnecessary removal of breast tissue.
Augmentation Mastopexy for Larger Sagging Breasts
There are a variety of techniques for these operations. Lollipop lift (vertical lift), donut (periareola) lift, Benelli lift, crescent lift, anchor lift (inverted T ). The nipple-areola complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position. I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.
BA with a lift?
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Would like a BA with a lift. Is removal of breast tissue typical for larger breast that have sagged?
Kenneth Hughes, MD
Los Angeles, CA
Do not remove breast tissue to make room for implants during a breast lift.
I agree with your fear that if an attempt is made to remove breast tissue that could create lumps bumps and irregularities and divots in the breast. You have very nice breasts with good breast tissue which simply can be lifted and the size enlarged and fullness gained with the use of submuscular implants. Seek consultation with a board certified plastic surgeon who is experienced and has explanations makes sense.
Breast lift with Breast Implants
Yes, from the pictures, you appear to be a good candidate for a breast lift with implants. You also appear to have enough of your own breast tissue that you could have textured implants placed above the muscle if you want. Under the muscle is fine too.
I wouldn't have too much of your own tissue removed. This could contribute to scarring and also lead to implant rippling. Only a small central strip at the bottom needs to be removed.
The good news is you appear to be a candidate for an excellent result.
To be sure what is best for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.
I hope this helps.
Breast Lift With or Without Implants
Breast Lift with Implants
Your nipple height looks good, as it appears to be above the crease. I would not remove tissue. I would have to measure you, but I think you could consider a dual plane internal breast lift. See the web reference below for illustrations. Yes, your tissue could re-stretch, this is always a risk after a lift. Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an established, high volume breast augmentation practice, performing several hundred breast augmentations each year. Ask to see their before and after photos if you didn’t see any on their website. If they are experienced, they should have several 100 breast implant patients for you to view. I would also recommend that your doctor offer you the chance to talk to past patients who would be happy to discuss their experience with you. You need to feel comfortable, so make sure the environment is safe as in an accredited surgery center. Also, ask a prospective surgeon if he or she has ever published journal articles in professional peer-reviewed journals, which they can provide you. All the best, “Dr. Joe”
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