What type of augmentation is best for after breastfeeding to fill the loose skin and make breasts sag less? Return to pre-pregnancy size?
Can a Breast Augmentation Lift the Breast Without Making Them Larger?
Doctor Answers 21
Lift Breast without making them larger
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.
Augment for lift only
Implants are to increase breast size, lifts are to lift the breasts
Implants make you bigger, period. The give you VERY little, if any of a lift. Breast lifts are designed to elevate the breasts on the chest. If you don't want to be bigger, don't get breast implants. If you want to be lifted, get a breast lift. If you want both, get both.
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Breast Lift Surgery
It sounds like what you are describing is breast lift surgery. What this does is remove any excess skin and tighten surronding supporting tissue to give you a tighter high look. There are different types of breast lifts, depending on how much your breasts are sagging. I would suggest seeing a plastic surgeon and setting up a consultation to see exactly what you are a canidate for.
Without pictures I cannot tell you exactly what you need, but I can give you general advice from my experience operating on patients that have been pregnant.
To correct the changes the breasts undergo post pregnancy and breast-feeding, a surgeon will typically advise you to have both a breast augmentation to help with the fullness and a lift to help with the skin laxity. If you opt for just a breast lift, your breast size will decrease, therefore a breast augmentation with a smaller implant could be just what you need.
I suggest you do some research by looking up different board certified plastic surgeons and viewing their before and after gallery. I have before and after photos and detailed information about the procedure on my website if you are interested in more information.
Augmentation without increase size....
The only way you can have an augment without increasing size is to have a concommittant reduction... and this is what I do when patients come in with very saggy, atrophic breasts and are desiring the look of implants. You just have to understand that when the time comes for you to give up your implants, your breasts will be much smaller now (but perky).
Lifts alone do not provide much upper pole fullness and depending on technique, many will "bottom out" so choose your surgeon carefully and make sure you are communicating your desires so that he/she can assure you your goals will be met.
Breast implants and volume vs. lift
Breast implants are synthetic pillow volume. The fill out and enlarge the look of the breast but do not lift or reposition it (although they can give the illusion of a lift). A lift procedure, properly done, moves the nipple-areola and breast up higher on the chest wall and readjusts the skin around it but doesn't change the size significantly (although it can look larger). Neither procedure will change your skin or tissue tone or keep it from sagging/stretching. This is true of lifting or filling out facial skin as well.
In the future, the best answer to your situation may be fat grafting along with true tightening or restored tone of skin/tissues. I would not currently recommend this because the best way to do this, consistent results, and the issue of changing breast cancer risk has not been well established.
Lifting the breasts w/o making them larger
If you have enough tissue (stuff!) to make an "uplifted" breast the size you want, then you do not have to have an implant. Usually, what you see while wearing a bra pre-operatively is what you will get without an implant. A qualified Plastic Surgeon can examine you and give you options.
Breast augmentation that lifts the breast
There is no such thing as a breast augmentation that lifts the breast. All an implant is designed to do is to add volume to the breast, to make it bigger. Breast implants could be little bags of breast tissue. There is nothing in a breast implant that can lift your breast. If you truly need a breast lift then that would be a different operation completely and could be done with or without adding a breast implant.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.