Mastopexy /augmentation not an option? (Photo)

Question

I'm in my forties and considering a mastopexy augmentation. I lost a lot of weight years ago and now I can afford to fund cosmetic surgery I've been told by one consultant that I've lost too much elasticity around my bust to have a successful mastopexy /augmentation. I have a second consultation booked so what questions should I be asking about my options? My boobs are very saggy and I was hoping to restore volume to the upper pole of my breasts

Justin Yovino, MD, FACS · Answer

The loss of elasticity and volume are the reasons for a lift and the placement of implants. Make sure you are meeting with a plastic surgeon who is experienced in breast lifts combined with implants. Ask them to describe how they perform the procedure including the placement of scars, the repositioning of the nipple areolar complex, the choice of implant size based on measurements, how the implants are placed, the expected outcome, etc.

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.

Gianfranco Frojo, MD · Answer

I would highly recommend insertion of breast implants with an internal bra (galaflex) for support and a mastopexy. This is just the absolutely minimum require to restore upper pole volume and shape of the breasts after massive weight loss.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

John Michael Thomassen, MD · Answer

An augmentation with a moderately sized implant and a lift would be your best option to restore breast shape and fullness.

Mastopexy /augmentation not an option? (Photo)

Answers (7)

Answer: Mastopexy/augmentation might be possible: See link below for results of women with a similar shape.

Answer: Mastopexy/augmentation might be possible: See link below for results of women with a similar shape.

Answer: Aug mastopexy

Answer: Aug mastopexy

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Mastopexy /augmentation not an option? (Photo)

Answers (7)

Answer: Mastopexy/augmentation might be possible: See link below for results of women with a similar shape.

Answer: Mastopexy/augmentation might be possible: See link below for results of women with a similar shape.

Answer: Aug mastopexy

Answer: Aug mastopexy

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Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.