Is Breast Lift for Cup Size A Breasts Worth It?

Question

Hi, I am a size A and nursed 2 children.  My breasts did shrink but during pregnancy and nursing, they grew larger than a DD.   Now my size A breasts are no longer firm and the left over fatty tissue sort of was re-distributed and the extra skin falls out of my size A bras and my nipples looked stretched out.   (Size B bras are two big on me and I still measure at an A).I really don't want larger breasts or ANY kind of augmentation. (I like my small breasts) I want my firm size A's back.

Eric Swanson, MD · Answer

An effective breast lift also reduces breast size. A skin-only "breast lift" typically does not work very well. In your situation, it is best to use small implants in combination with a breast lift. This will also correct your stretched out areolae. So even if you want to stay the same size, you need to have implants. But they can be saline if you prefer, which are undeniably safe. You simply need to get past your apprehension about implants, particularly if you want youthful firmness, which implants provide better than stretched-out breast tissue. I would recommend that you view before and after photos of breast lifts and breast lifts with implants, including patients with small breasts, before making up your mind. I've attached a link to this portion of my website.

Michael Constantin Gartner, DO · Answer

A breast lift can help if you don't mind keeping your A size. However, some tissue does have to be removed to make your breasts perkier, so you may experience a bit of a decrease of breast size. To replace this, you can consider breast augmentation with fat transfer. This would use your own fat to enhance breast size, rather than implants.

Richard J. Bruneteau, MD · Answer

It’s not unusual for
women with small breasts to request breast lift surgery when breast sag is
present. The vast majority of these patients are also interested in undergoing
breast augmentation surgery. Never the less, there are patients who are happy
with smaller breasts and are primarily concerned with breast sag.

In this group,
breast lift surgery can be performed with high satisfaction rates. A variety of
surgical options exist for managing this condition. The exact procedure would
depend on your aesthetic goals and physical examination. Depending upon the
severity of breast sag, several treatment options exist.

In cases of mild
breast sag, the excess skin and sag can be treated with a donut mastopexy. This
procedure removes and tightens the excess skin and sag around the areola. This
leaves a scar at the junction between the areola and surrounding tissue.

In more severe cases
of sag, a lollipop incision can be utilized to deal with excess skin. This
leaves a circular incision around the areola with a vertical extension that
extends to the inframammary fold. When extreme sag is present, excision of
excess skin requires not only a vertical incision, but an incision transversely
in the inframammary fold as well.

It’s important to
remember that every woman with breast sag is unique. Their anatomic starting
points and aesthetic goals are always different. Any patient considering breast
lift surgery should consult a board certified plastic surgeon. After careful
evaluation an appropriate treatment plan can be formulated.

Jeffrey J. Roth, MD, FACS · Answer

Hard to say without photos or exam. It depends on your goal. If you want extra skin taken away, and the nipples lifted, then a mastopexy may be the way to go. Best to see a board certified plastic surgeon. Discuss your goals with him/her.

Farbod Esmailian, MD · Answer

It really is up to you to say if it is worth it or not. A lift will move your nipple and areola higher and tighten the skin. Most patients who have a lift done usually say that they think there breast is a little smaller.

	A breast aug with a smaller lift will be the other option, to make your breast slightly fuller and lift the breast at the same time.

	I would consult with a board certified plastic surgeon to go over your options in detail after examining you.

	Good luck.

Trevor M. Born, MD · Answer

Dear Nelliefar
A breastlift is always an option.  Lifting tends to decrease the size of the breast.  A periareolar lift can be done with a shortening of the nipple.  Another option is that you can do a small amount of fat grafting to add volume and shape to the breast.
You would have to understand the risks of the procedure.
An implant is not always necessary, although a small one is a very good option.
With Warmest Regards,
Trevor M Born MD

Brent Moelleken, MD · Answer

A breast lift can give dramatic results in women with small breasts. In some patients it can be life changing, especially for women with 'snoopy' or tuberous breasts. Many women are OK with their breast volume or don't want to deal with implants; for them, a lift alone might be perfect.

Tom J. Pousti, MD · Answer

Thank you for the question.

	Whether you will be happy with the results of breast lifting surgery alone will depend on how much of your own breast tissue remains after pregnancies. If you find that on physical examination your breasts are quite &ldquo;empty&rdquo; then it is unrealistic to expect &ldquo;firm&rdquo; breasts after breast lifting surgery.  On the other hand, if you do have  enough breast tissue left in place,  this can be moved superiorly and used to create the look/feel you are looking for.

	In person consultation with well experienced board-certified plastic surgeons will be helpful to you.

	Best wishes.

Pat Pazmino, MD, FACS · Answer

In our practice, we have many patients who have a small breast size and are looking for a breast lift but not for a significant change in their breast volume. These patients are excellent candidates for a periareolar breast lift or a lollipop incision. These are two excellent options to recontour the breast, re-create a pleasing and more youthful breast mound, and to minimize the amount of scarring on the breast skin.

Christopher L. Hess, MD · Answer

By all means you may get a mastopexy or lift. There are many way to perform this surgery. I understand that you don't want larger breasts but after the mastopexy they will be smaller than they are now because the skin will be removed. If that's okay then go ahead with it.

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