34DD with loose skin - Am I candidate for a breast lift without implants? (Photos)

Question

Hi, I've had 3 children and now have saggy deflated breasts. Am I a candidate fof a breast lift without implants? Started as a Uk 34C and weng to a G cup during pregnancy. Now a 34DD with loose skin etc. I dont want to go bigger and not keen on implants

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. You have an asymmetry of your breasts. Both breasts have a grade 2 ptosis.  If you are pleased with the volume that you have, there is no need for you to have implants. Implants increase the cost of the surgery and open you to the potential for future surgeries for a number of reasons.  If you would like to have improved symmetry, a reduction of your larger breast could be done, with only a lift on your smaller breast and if you feel both your breast are too large, a lift/reduction could be performed on both sides.  Decreasing the weight of your breast with reductions may help your result to be longer lasting as there will not be as much weight on your skin.  Discuss this in detail with your plastic surgeon.

Daniel Barrett, MD · Answer

Dear annabel38,

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

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 on your photos, you would benefit from a lift and a slight reduction with a goal of addressing asymmetry.
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.

Joel Patrick Maier, MD · Answer

Yes, you are an excellent candidate for a breast lift without implants. A breast lift will help with your asymmetry along with reshaping and lifting the breast. I would not hesitate to proceed. I hope this helps, thank you for sharing!

Moises Salama, MD · Answer

Thanks for your question. From your pictures, it seems like you're 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.

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

Hello,After evaluating your photos, I observed that you have asymmetrical breasts with some loose skin. I understand that you do not wish to have breast implants. In this case, we will need to reshape your existing breast tissue to achieve symmetry.The smaller breast will serve as our guide. Since we are not using implants, the best way to create a balanced appearance is to reduce and lift the larger breast to match the smaller one, and perform a breast lift on the smaller breast.If you are not looking to increase your breast size, this approach should provide results you’ll be happy with.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Mathew A. Plant, MD, FRCSC · Answer

Great question. You are an ideal candidate for a breast lift without implant as you still have decent volume to work with. You do have a significant asymmetry that needs to be addressed with a unilateral reduction so make sure to see a very experienced surgeon near you. Hope that helps!

Gary M. Horndeski, MD · Answer

At size 34 DD, you do not need 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Emre Guvercin, MD, FEBOPRAS · Answer

Especially in postpartum breast deformities, volume changes in the breast, loosening of the skin and connective tissue and severe sagging are common. In addition to all these deformities, it is also aimed to correct the existing breast volume and projection asymmetry. With pushup lift, it is possible to achieve upper pole and décolleté fullness using your own breast tissue.

34DD with loose skin - Am I candidate for a breast lift without implants? (Photos)

Answers (11)

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