Breast Implants Without Going Up in Size?

Question

My current size is 36D. I'm unhappy with the moderate amount of sagging and loss of firmness. My question is, can I get small breast implants instead of a lift to increase fullness and lift the breast without going up in cup size? I would like to avoid the scarring from a breast lift.

Ercan Karacaoglu, MD, FEBOPRAS · Answer

Hi !

Briefly, yes it is possible. The answer to this question is quite simple: yes, you absolutely can. This procedure is breast lift surgery and it  is a popular procedure intended to elevate and contour the breasts for a rejuvenated appearance. During the operation, excess skin can be removed, the nipples can be repositioned, and breast tissue can be reshaped to help restore a more youthful and natural-looking results. Breast lift (also know as mastopexy) can correct breast sagging and eliminate excess skin with a small implant and at the end of this procedure you will have the same size as before.

Jerome Edelstein, MD · Answer

It is possible to make your breasts appear fuller with breast implants, however because of your size, a breast lift would be better suited to achieve your goals. A better evaluation can be obtained by consulting in person with a board certified plastic surgeon.

Larry S. Nichter, MD, MS, FACS · Answer

With time breasts loose their superior pole fullness and also sag. Unfortunately for most both an implant or in some cases a fat transfer ("California breast lift") to replace the upper pole of the breast fullness as well as a lift is needed for optimal results and the happiest patients.

Otto Joseph Placik, MD · Answer

I do not think you would be happy with the implants alone but you may benefit from the use of fat grafting.

Richard Baxter, MD · Answer

Sometimes it isn't an either/or situation. When breasts sag, there is often a component of volume loss that contributes to it and this can only be corrected by adding volume back with implants. The implants do not have to be large but if you want some fullness to be maintained in the upper portion of the breast then you should consider it. On the other hand, implants without a lift for sagging isn't always a good long-term option either. Most of the time (but not always) a combination of a lift and implants gives the desired result, and in my experience the short-scar techniques tend to work best when combined with at least a small implant.

Scott Tucker, MD · Answer

Any time you add an implant you are going to go up in size. If sagging is the main issue the only way to deal with this is a lift. While the scar are initially a problem they typically settle down over time, especially with the new short scar lifts. Using an implant to affect a lift will definitly increase your size.
Good Luck!

George Marosan, MD · Answer

If you are pleased with your breast volume, then you need a lift to correct the sagging. The scarring is a major concern in 100% of my breast lift consultations. That is one of the reasons I changed my breast lift technique to a short scar lift 10 years ago. For further info you can visit my web site: www.bellevueplasticsurgeons.com.

Steven Wallach, MD · Answer

The majority of patients that desire more fullness because their breasts sag a bit, really need a lift.  An implant usually does not do the trick.

John P. Di Saia, MD · Answer

Hello,
Breast implant placement alone does not lift anything. Saggy breasts treated with implants alone become larger droopy breasts in little time. Look into a good breast lift.

Scott E. Kasden, MD, FACS · Answer

Unfortunately, onec can't pick and choose on this.
The breast implants will give a moderate lift, but if the nipple is below where the underwire is, you will get a double effect- the implant profile, and the breast tissue flagging off of the implant.
Also, you need to use an appropriate sized implant to get a good result, and with a 36" chest, you will need a larger size implant.
The scars usually fade and look quite nice when healed.
sek

Breast Implants Without Going Up in Size?

Answers (16)

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