Breasts Lost Volume After Pregnancy. Would Like Natural Looking Breasts? (photo)

since having my son my breasts have lost volume especially at the top. I am 5ft 5inches, approx 115lbs and currently wearing a 34c bra which is quite empty, my back size is actually 32 but find 32c bra cups bit too small. I want the implants to look as natural as poosible just really to fill out my current breast tissue. Which would be better to achieve a more natural look overs or unders? also any suggestions on sizing would be really helpful. The impalnts I am having are the Allergan Natrelle.

Doctor Answers 13

Getting Natural and full breasts after pregnancy in Los Angeles

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

women loose breast volume after pregnancy. Breast skin also stretches with pregnancy which makes the breast saggy looking. Breast augmentation with saline implants under the breast muscle (submuscular) helps to replenish lost breast volume. It might also be necessary to lift breasts after pregnancy.

Beverly Hills Plastic Surgeon
4.3 out of 5 stars 51 reviews

Choosing implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for the question. As I stress with my patients, the choice of implant size and type would best be done through an in-person examination. There are a lot of factors that can affect your choice like the desired end result, breast tissue, body measurements, and the like. Bra sizes can be better determined once all of these information have been gathered. Putting the implants under the muscle would also help to enhance your breasts.  It would always be best to visit your board-certified plastic surgeon and get a full evaluation for your concerns. Best of luck, Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Breast volume lost after pregnancy. Would like natural looking breasts?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Judging by your photographs it is possible you may need a breast lift in conjunction with your augmentation in order to achieve the best outcome. Your need for a breast lift will depend on how much breast tissue is below the fold of your breast. If only a small amount is present a dual plane breast augmentation may solve the problem. Each surgeon will have his or her own personal criteria for implant selection. In my opinion it will be very important to begin the selection process by carefully listening to your goals and concerns relating to breast enlargement. I find that the great majority of patients want to be made as full as posssible without looking artificial. This means an outcome with some, but not excessive, fullness in the upper part of the breast. Many patients will state the cup size they would like to achieve. Although cup size varies from one vendor to the next it helps to begin to understand the general size the you will want to be. External sizing implants are also helpful in determining a final breast volume. These are specially made, form fitting implants that are placed into a snug fitting sports bra. A suitable top is then put on. You can look in a mirror and provide your opinion of how they look. After a general idea is acheived chest wall measurements can be taken to help refine the selection. Smooth walled silicone filled implant are nomally a good choice for breast augmentation.They have a better look and feel and are less likely to show wrinkling. This series of steps usually leads to the preoperative selection of the best implant. One final step can be taken to confirm the selection. After the pocket is created in the operating room an intraoperatve sizing implant can be temporarily placed in the pocket. The back of the operating table can then be elevated so that the surgeon can view the patient both laying down and in the sitting position.Occasionally this final refining step will result in a slight change in the preoperative selection and help ensure the best outcome for the patient. Be sure to consult a surgeon certified by the American Board of Plastic Surgery performs breast surgery on a regular basis. Good luck

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 133 reviews

Measurements Required To Determine Best Size

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
This all depends on a variety of measurements of your original, pre-surgery body contour and your desired outcome. A variety of variables are considered, including your height, weight, breast width, breast height, distance between nipple and breast fold, as well as your desired cup size to determine the most suitable implant size, type and specific surgical technique. Based on all of these measurements, you can then determine how many cc's would look natural, or unnatural. You may want to consider an implant shape with more projection (a narrower base) and placed in the submammary position to achieve a subtle lift to make your breasts look perkier. Ask your surgeon about the Allergan Inspira Truform 2.

Best of luck!  

Breasts lost volume after pregnancy. Would like natural looking breasts? (photo)

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hello! Thank you for your question and photo. This is an excellent question, and one very common for those seeking rejuvenation of the appearance of her breasts, especially after pregnancy. Your complaints are likely due to post-pregnancy changes of your breasts as they likely enlarged and stretched during and immediately after your pregnancy as they became engorged with milk for lactation. Now, they have a typical "deflated" appearance as they have settled but have lost much of the enlargement during your pregnancy. Options to ameliorate your complaints would include implant placement, breast lift, fat grafting, or a combination of these modalities. A consultation with a plastic surgeon may help you decide which procedure(s) may be the best option for you.   Obtaining your breast base width is the most important determinant for obtaining the best, and most natural-appearing, result.  This will give you the correct implant size for your body habitus. 

It may be wise to wait until after you have completed child bearing, as similar changes will occur after each pregnancy. Also, it is not uncommon to have different sizes of breasts, but I would recommend evaluation if there is a sudden change in one side from another, a mass is felt to account for the size difference, any changes in skin or nipple appearance, or drainage/bleeding from the nipple. Changes can certainly continue after future pregnancies. Hope that these answers help!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Replacing volume after pregnancy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for the photo.  It is very common to replace volume lost after having children.  This is usually done with an implant.  If you have droop, (ptosis), then a lift may help as well.  It is a bit difficult to tell you exactly what to do without an exam.  Best to see a couple of board certified plastic surgeons and get a couple of opinions.  

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Breast augmentation incisions

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

From photo I cannot tell if your nipple is higher than your fold. If it is, then you will probably not need a lift. If you have significant hanging but the nipple is above the fold, then I would go with silicone on top of the muscle to take up the loose skin. I like the Mentor smooth round implant, and with a narrow chest you may need a high profile or ultra high profile. Your surgeon will be able to measure and determine which implant will be best.

Good luck.

Over or Under the Muscle

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Based on your pictures, I would place the implants below the muscle (as I do in nearly all of my patients).  As for sizing, find a board-certified plastic surgeon who has implant sizers that you can try on in the office to get you the closest to your goals.  Allergan implants are high quality implants as are the two other FDA approved implants available in the US.

Brian Howard, MD (retired)
Alpharetta Plastic Surgeon

Want natural looking augmented breasts

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question and the photo.

You will get a lot of different answers. You may be a good candidate for over the muscle with a small lift for the most natural look.

To be sure and to discuss all the risks, benefits, alternatives; 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.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Saggy Breasts After Pregnancy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


Based on your photo and description, it is common for women to loose breast volume and perkiness  after pregnancy.

An submuscular implants would help restore the fullness of your breasts and the size cannot be determined without an in-person evaluation.

With that in mind, you may need to consider a lift to go along with the breast augmentation; the type of lift will be discussed during your consultation with the surgeon.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.

I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

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.