39, fat loss and breast fed. Would I be suitable for a breast augmentation or do I need a lift too? (Photos)

Question

I would like to improve the appearance of my breasts and currently considering implants or a fat transfer. Would I need to get a breast lift too, or could I achieve a good result just wirh with an augmentation? I'm 39, breasts a bit saggy/deflated due to breastfeeding 2 kids and some fat loss.

Jacob Carlson, MD · Answer

I think you can accomplish a very nice result with a breast lift +/- implants or fat grafting. If you were to undergo an augmentation alone, with either implants or with fat grafting, the areola position is not going to be changed to a significant degree. And depending on the volume and placement of the implant or fat, it might actually cause the areola to point downward or result in a 'waterfall deformity,' where the breast tissue falls off the front of the implant. A breast lift, on the other hand, would help elevated the breast tissue, and then reposition the areola to the most projected portion of the breast.

Daniel Barrett, MD · Answer

Dear Neat525280,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Harry T. Haramis, MD, FACS · Answer

It all depends upon the results you desire.

Your breasts can keep their natural look with fat transfer for modest increase in size and more upper fullness. In my experience, I can shape the breast more so with fat.

If you want much larger breasts, then implants would give more predictable results.

You would likely need a lift with implants to prevent lower tissue sagging.

A lift can be combined with fat transfer if you want higher, perkier breasts.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

39, fat loss and breast fed. Would I be suitable for a breast augmentation or do I need a lift too? (Photos)

Answers (3)

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