Implant for pseudo ptosis mammae (photo)

Question

I'm asian.h155 cm w 48 kg I've had 2 kids I have striae in mammae I want to lift & volume up my breast bit i don't want breast lift because of the scars I went to plastic surgeon,he gave me 2 options: - implant 450-500cc silicone high profile, because so many excess skin (dual plane method) - breast lift with anchor method + implant 250cc-300 cc(because i'm asian,scar will be more visible) If i implant without lift. How many cm my breast can lift?

Donovan Rosas, MD · Answer

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision. 
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.   
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure.  Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based upon your photos, I would recommend a lift in conjunction with an augmentation. Implants will not lift regardless of volume. It is impractical to select implants oversized for your frame to avoid the scars of a lift.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

Daniel Barrett, MD · Answer

Dear Awesome327259,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

From the pictures posted, if desired,   a lift would be necessary. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

You are a terrible candidate for implants.  I recommend a breast lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You need a lift. Anything else besides a lift will only give you more sagging. Since you are sagging now, please do not go with large and heavy implants.  Your stretched out tissue, even lifted, will not hold up heavy implants. I would suggest something between 150-200 cc's to add a cup increase only.

Implant for pseudo ptosis mammae (photo)

Answers (6)

Answer: Bellesoma Method

Answer: Bellesoma Method

Answer: Breasts

Answer: Breasts

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Implant for pseudo ptosis mammae (photo)

Answers (6)

Answer: Bellesoma Method

Answer: Bellesoma Method

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.