With pseudoptosis, will augmentation just accelerate the need for a breast lift and can I still get desired results? (Photo)

Question

I have pseudotosis and am interested in a breast implants. I'm sure I will need a breast lift in the future, but would like to wait until after having children (currently have no children). With only a breast augmentation, can I still achieve what I am looking for? I'm want to improve upper pole fullness. I'm considering a 600 cc silicone implant, sub-pectoral, inframammory incision. Am I just accelerating my need for a lift and are there any thoughts on what that timeline may look like?

Marshall T. Partington, MD, FACS · Answer

Breast
implants can often give a lift to breasts demonstrating pseudo ptosis. I usually
place the implant over the muscle for this purpose. The bigger they are the
harder they fall. 600 cc implants are going to weigh your breasts down
regardless of placement.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your questions and photos.  Because of your pseudoptosis, you will most likely benefit from implants alone.  As you have noted though, large implants will cause your breasts to sag with time especially with pregnancy and breast feeding.  At some point once you are done having children, you will most likely need a lift.  The timetable for all of this is unpredictable.  Please be seen in person by a board certified plastic surgeon for a physical evaluation.All the best,Dr. ResultsMiami, FL

Young R. Cho, MD, PhD · Answer

Thank you for your question.  I would recommend considering shaped implants as they hold the shape of your breasts for a longer period of time.  As for the size, it is hard to recommend without a physical exam with breast measurements to help guide implant selection.  Based on the photos, I do not think a lift would be needed along with the implants.

Gregory T. Lynam, MD · Answer

A dual plane implant should be fine for you. 600 cc may be too big but hard to say without an exam. You may be big enough with 500 cc moderate plus or high profile. Keep in mind that if the implant is too wide it will show much more wrinkles.Good Luck!

Robert L. Steely, MD, FACS · Answer

Good morning!yes- larger implants with your pseudoptosis will cause you implnats to ultimately be lower on your chest wall and may acceleerate the need for some sort of lift in the future.  I think your results will be somewhat close to the woman in the red bikini top you posted.Remeber - the larger these implants are the heavier they are, and the heavier they are the more gravity is pulling them down.  There is no getting around this fundemental rule of nature.I hope this helps.

Vasdev Rai, MD · Answer

In my opinion yours is a wrong approach.   You will overly stress and stretch your normal tissues trying to compensate for your pseudoptosis.  This will cause unnecessary, but permanent tissue damage  to your muscles, breasts and skin.  Look at the problem for what it is.  Do a lift. May be a small implant or no implant at all. That is a topic for serious discussion

Ven Erella, MD · Answer

Thank you for your question. Breast aug will work for , but can not comment on implant size. Pl see a board certified PS for evaluation.

David F. Klein, MD (retired) · Answer

Your question is one that is common and not always easily answered.  Your breasts do sit low on your chest wall, based on the pictures, and will likely stay in a low position with augmentation only.  This is a normal and attractive look to many people, but some women do not like this low position of the breasts.  A mastopexy would elevate the breast mound and give a fuller upper pole, however, there are scars involved in a mastopexy.  Either approach would allow you to look like your "goal pictures" with clothes on, but you may not like the look without clothes.  A clear discussion of your options with a Board Certified plastic surgeon after a full exam should help you decide what is best for you.

With pseudoptosis, will augmentation just accelerate the need for a breast lift and can I still get desired results? (Photo)

Answers (8)

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