After giving birth to two beautiful daughters and breastfeeding one of them for 6 months (mostly expressed milk with a breast pomp) an another for 9 months my breasts left empty and saggy. Had 32D before pregnancies, after first pregnancy and breastfeeding-32C, after second-32B. Will anatomical implants work well on my breasts or I should ask for lift? Is there a big risk that my breast will look nice after surgery and after few year they will look droppy again?
Answer: Breast lift or just implants? It would take a formal consultation with evaluation of tissue thickness and skin elasticity for any of us to give you a very meaningful opinion. Based on the photos, if you want a very tight skin envelope and significantly higher breast and nipple position a lift would be necessary. The trade off is a significant scar that should not be taken lightly. To get the most "lift" as possible with the implant alone I would recommend an anatomical implant over the muscle (assuming you have enough coverage for the implant). An anatomical implant pushes the nipple up more significantly and tighten and supports the lower skin envelope more. Going above the muscle allows the implant to fill the breast more fully without compression and blunting the effect from the muscle. I have many patients who have been told they "needed" a lift who were candidates anatomical subglandular implants and were very happy that they did not do a lift. The link below is a recent realself.com post about a patient with a similar story.I personally never recommend going larger than you would like to get better "fill". Ultimately this is defeating and you will end up both larger AND droopier than you would like several years later.
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Answer: Breast lift or just implants? It would take a formal consultation with evaluation of tissue thickness and skin elasticity for any of us to give you a very meaningful opinion. Based on the photos, if you want a very tight skin envelope and significantly higher breast and nipple position a lift would be necessary. The trade off is a significant scar that should not be taken lightly. To get the most "lift" as possible with the implant alone I would recommend an anatomical implant over the muscle (assuming you have enough coverage for the implant). An anatomical implant pushes the nipple up more significantly and tighten and supports the lower skin envelope more. Going above the muscle allows the implant to fill the breast more fully without compression and blunting the effect from the muscle. I have many patients who have been told they "needed" a lift who were candidates anatomical subglandular implants and were very happy that they did not do a lift. The link below is a recent realself.com post about a patient with a similar story.I personally never recommend going larger than you would like to get better "fill". Ultimately this is defeating and you will end up both larger AND droopier than you would like several years later.
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Answer: Lift needed? Excellent question. There is no doubt that you have some ptosis (sag) of your breasts, but could have an acceptable outcome with implants alone. If need be, you can always stage a vertical mastopexy at a later date. Make sure you choose implants that are appropriate, proportionate and fulfill your desires and goals. It is not an uncommon scenario that too large implants are placed to "lift" the breasts resulting in too large and more saggy breasts . . . Good luck and thank you for sharing.
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Answer: Lift needed? Excellent question. There is no doubt that you have some ptosis (sag) of your breasts, but could have an acceptable outcome with implants alone. If need be, you can always stage a vertical mastopexy at a later date. Make sure you choose implants that are appropriate, proportionate and fulfill your desires and goals. It is not an uncommon scenario that too large implants are placed to "lift" the breasts resulting in too large and more saggy breasts . . . Good luck and thank you for sharing.
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August 10, 2016
Answer: Anatomical implants or breast lift Based on your photos, a breast lift with an implant may be your best option. Anatomic implants alone will not correct your sagging and tend to feel stiffer than regular silicone implants.
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August 10, 2016
Answer: Anatomical implants or breast lift Based on your photos, a breast lift with an implant may be your best option. Anatomic implants alone will not correct your sagging and tend to feel stiffer than regular silicone implants.
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April 21, 2015
Answer: Anatomical implants for saggy breasts or lift? Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue,assessing yourdesired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. Robert Singer, MD FACS La Jolla, California
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April 21, 2015
Answer: Anatomical implants for saggy breasts or lift? Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue,assessing yourdesired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. Robert Singer, MD FACS La Jolla, California
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April 21, 2015
Answer: HP or lift I would either go with smooth round high profile implants or the lift. The HP implants would have to be large and there would be still some residual ptosis. However, the scarring would be less. A lift would control the breast shape more but there would be scarring and the breasts would be smaller. I would wait six months between the lift and implants if you did both. I do not see any use for anatomic implants here.
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April 21, 2015
Answer: HP or lift I would either go with smooth round high profile implants or the lift. The HP implants would have to be large and there would be still some residual ptosis. However, the scarring would be less. A lift would control the breast shape more but there would be scarring and the breasts would be smaller. I would wait six months between the lift and implants if you did both. I do not see any use for anatomic implants here.
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