Mastoplexy with grade 1 ptosis or just implants? (photos)
Doctor Answers 15
Breast lift alone or with implants?
I think you would do best with lift and implants
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You would benefit from a breast lift with implants
The easy way to decipher what each procedure produces is that implants increase breast volume and add upper pole fullness. Implants are placed in either a subglandular or subpectoral pocket centered over the left and right chest breast footprint. When you have ptosis/sagging, where the nipple-areola complex is at the fold or lower, your breast will continue to hang off of your chest onto your upper abdomen even after implants. In fact, in patients with such sagging who undergo an augmentation without a lift, their breast tissue hangs off of the implant that is sitting on their chest, creating a shape like Snoopy's nose, hence called a "snoopy" deformity. Implants can not give a therapeutic lift and taking shortcuts will only lead to suboptimal results. In some borderline cases of ptosis, breast augmentation can be performed and if there is unsatisfactory sagging, then a lift can be performed later at a second stage, but in your case, an in person examination will be most instrumental in going over your lifting options in conjunction with implants.
Two lifting techniques that are very good ones in the right patient and I use are based on the following:
1) if it is mainly the nipple position that needs lifting, I like the circumareolar approach (also called a donut lift)
vs 2) if a large portion of the breast tissue/weight needs to be lifted, a circumvertical (also called lollipop) and sometimes a full anchor incision is needed as the circumareolar approach in my mind is not strong enough to hold the weight of the breast and results in stretching of the areola and drooping over time.
Costs vary based on surgeon experience, region of the country, and amount of time needed to perform your operation. I recommend you start by finding a board certified plastic surgeon with expertise in aesthetic breast surgery. Most high end practices can offer you a preliminary virtual consultation, and they also have various credit and financing options to help make surgery with the best surgeon for you more affordable.I hope this helps you!
Dr. Sean Kelishadi
Implants or Lift and Implants?
Review before and after pictures that are like you
Mastopexy with Implants
Based on the photographs, the addition of a mastopexy would likely improve your result, and adding the scars would likely be worth it. If you are very undecided about the scars, you do have the option of only doing the implants, seeing how you like your shape, and then deciding to do the mastopexy later if you aren't happy (but that's a second surgical recovery and more cost). The most important thing is that you find a surgeon you trust and like their before/afters of other patients who are similar to you.
Dr. Dan Krochmal
MAE Plastic Surgery
Mastoplexy with grade 1 ptosis or just implants?
Thank you for your question. Based on your photos you have grade 2 ptosis at least on the right side.
The benefit of a mastopexy in addition to breast implants is the avoidance of the complication called "snoopy deformity" which you do not want to happen. To understand the risks of implants without mastopexy please read the following link:
Breast lift with implant
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
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.