What can I do for my breasts? I wanted them lifted and maybe even implants (Photo)

Question

I’m 22. They are saggy & almost deflated. I’m recovered from an eating disorder where my weight was always changing- which shows in my breasts. I want them lifted and maybe even implants but I hate that big scar from the lifts women get. What do you reccomend? Also if there’s anything for my nipples to be smaller that wouldn’t leave huge scars too. OPEN TO ALL SUGGESTIONS.

Gregory Lakin, MD · Answer

Thank you for sharing your concerns and photos. Based on what you've described regarding sagging and changes in your breasts due to weight fluctuations, a combination of a breast lift and implants could achieve the enhancement and upliftment you're looking for. This approach effectively tackles sagging, replenishes lost volume, and enhances the overall breast shape. While concerns about the scars from a breast lift are valid, surgeons employ various methods to keep scarring to a minimum, and these scars typically fade well with time and proper aftercare. A breast lift also allows for the adjustment of nipple size.

Choosing implants without a lift is another possibility if scarring is a major concern, but this might not address the sagging adequately and could lead to a droopier look than if you were to combine the two procedures. The ideal solution varies depending on your unique body and desired outcome. I suggest a consultation with a board-certified plastic surgeon to explore your options thoroughly

Finny George, MD · Answer

Hi, thank you for sharing your question. It is quite understandable that you are hesitant about the scars from a breast lift. There may be ways to minimize scarring or avoid certain scars that are more visible, but in your situation a lift is needed.

Joel Patrick Maier, MD · Answer

I would recommend a proper, formal breast lift. This includes removal of the heavier tissue and skin of the breast that causes the ptosis. This will require either a lollipop, or more likely a formal "anchor" type of scar. This will result is a higher, tighter, lifted and proportionate breast with the nipple-areloar complex centered  new mound located above the breast fold. Any sort of small implant, skin only type of procedure will leave you larger and more ptotic. Of course, you need to consider nipple sensation and breast feeding as these are both affected by the lift. I hope this helps, thanks for sharing!

Moises Salama, MD · Answer

Thanks for your question. From your picture, it seems like you are a good candidate for a breast lift. Note, if keeping or increasing your size matters, a breast lift with implants would be best. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon

W. John Bull, MD · Answer

After reviewing your photos, you would see the best results with a mastopexy and breast implant. The mastopexy would be best with an inverted T incision, so both vertical and horizontal along the IMF and around the areola. The implant would be for upper breast volume and shaping but without the lift, the nipple will still be too low.

Gary M. Horndeski, MD · Answer

The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

Carlos Marciales, MD · Answer

Hello, if your breasts are a little saggy, I think that currently, the way they look, you should wait a few years to do a lift. In my opinion, they are very symmetrical, and they look very pretty. I wouldn't recommend that you get a lift yet, and to reduce the areola would have to be a scar around the areola completely.

Caner Kacmaz, MD · Answer

You definitely need an uplift surgery. Implants can be done if you are looking for a bigger size. Otherwise, in my opinion uplift only will give you great results. 
However , you may be left with a red, raised line along the edges of the incision. Over time, the scar color should fade to pink and then to white. They should also flatten out in texture. This scar lightening will take several months up to a year after the surgery

Daniel Barrett, MD · Answer

Dear Thevampireslayer,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jeffrey M. Darrow, MD · Answer

A consultation and a physical examination would be required to do some measurements of your tissues to evaluate how much laxity your skin has and the distance from your nipple to the level of your fold. I recognize that you would like to avoid incisions of a lift, however, there is no way to elevate the nipple/areolar complex higher to a new position without an incision around it and shifting it to a higher level. This shift of the nipple/areola to a higher level increases the distance from the bottom of the areola to the fold underneath your breast, and would require removal and tightening of some of that skin, so that the breast tissue also gets moved upward for a more youthful appearance.  They consultation and a detailed discussion with the Plastic Surgery would help you understand your best way forward. Performed meticulously the incisions should be well camouflaged over time.