Do my breasts sit too low on my chest? I am 2 months away from a BA but am a little worried.

Question

Do my breasts sit too low on my chest? Or are my nipples too high? Or both? I am 2 months away from a BA but am a little worried that I might look saggy because of where the implants will sit. Will high profile implants help with this? Will I likely have no cleavage due to them being so low? Thanks!

Robert P. Schmid, MD · Answer

Thanks for your question! I do agree that your breasts sit a little low on your chest, but breast augmentation should correct this very nicely. I would encourage you to talk to your plastic about the (relatively) new SSF Inspira Soft Touch cohesive gel Full (high) profile implants; I’ve been very happy with them! Best of luck to you!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You do have low set inframammary folds but you do not need a breast lift.  You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Georgios Ziakas, MD, FACS · Answer

It is difficult to determine just based on the pictures without a physical examination  but you should follow up with your surgeon to address your concerns after your implant surgery.

Steven Varkony, MD · Answer

Without an in-person consultation, it’s impossible to determine if you will need more than an augmentation to achieve your post-surgery goals. We recommend scheduling an appointment with your plastic surgeon to further discuss your concerns.

Eric YK Li, MD · Answer

Your breasts do sit lower on your chest, but this is your anatomy and it is also within the realm of what is normal.  It will be more difficult for your to gain upper pole fullness as both your breasts and implants will sit naturally lower.  High profile implants will not help, wider diameter implants can but only to a certain extent as the implants shouldn't be wider than your natural breast tissues.  Hope this helps!

Nilesh Sojitra, MSc, FRCS (Plast) · Answer

Your breasts are ideal for a BBA. Yes ure infra mammary folds are low but that is your anatomy.
All the best
Nilesh Sojitra

Ven Erella, MD · Answer

Thank you for your question. Based on the picture you are a good candidate for breast Aug. Look like your fold is lower, but that is your anatomy. I think it is important to discuss with your PS about your goals and to tell how much and how far fullness above nipple is important. High profile may not give enough volume in the upper pole in your case.

Charles T. Slack, MD · Answer

Great question. Your breast folds are a little low on your chest. Since the breast implants start at the fold and move up from there, you may not be able to get fullness as high as you would like while maintaining a reasonable cup size. I think it willl be important for you to tell your surgeon how high you want fullnes to go on your chest and mesure that distance form your breast fold. In selecting an implant you want to make sure the diameter of the implant is big enough to acheive this height. As implants go up in volume the diameter also increases. HIgh profile implants pack the same amount of volume in a lower diameter implant comared to a moderate or a low profile implants; therefore, a high profile implnat would typically be amuch larger volume to achieve the same height of fullness as a moderate or low profile implant. Many patients confuse lack of fullness in the upper part of their breasts with "sagging" breasts. Sagging breasts occur when part of the breast actually hangs below the breast fold. You will not have sagging breast with an augmentation. I think you are a great candidate for an augmentation but I you need to make sure you are clear with your surgeon about your expectations. Unfortunatley, there are some anatomical issues that cannot be changed or overcome with breast implants. It is important that you understand thwse issue with your body prior to undergoing a breast augmentation.

John Dean, MD · Answer

You indeed have a very low infra-mammary crease, though your nipples are in a normal position.  You should get a very nice result from a breast augmentation and should reach your final shape sooner than some other shaped women will.  You are correct that you won't get as much projection with the same implant as others but a high profile implant will likely have too narrow of a base diameter to fill the base diameter of your breast, so I wouldn't use one. I think that your cleavage will be fine.  Your breasts will still sit lower on your chest so you shouldn't expect high round profile mounds sitting above the cups of your bra.

David M. Deisher, MD (retired) · Answer

Thank you for your question.  Based on the photos the breasts do sit lower on the chest wall, but that is a normal variant - just the way you developed.  It does not appear that you need a lift, an augmentation alone should suffice.  However please keep in mind that the degree of upper fullness you show after surgery may be less since the entire implant will be sitting lower on the chest wall.  Sometimes using different profiles of the implant can make a difference (one with a wider base diameter).  Please be sure to discuss this with your plastic surgeon on the prep visit.  good luck

Do my breasts sit too low on my chest? I am 2 months away from a BA but am a little worried.

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