Can You Fix Breast Sagging with Just a Implant ? If So Does the Implant Have to Be Large Considering I'm Already a D/DD?

Doctor Answers 22

Not necessary but sagging rate accelerated

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Minor to moderate sagging can be corrected with an implant that may not have to be larger. However, because your implants will be on the larger side, your breasts will sag at a faster rate. That means a lift may be more appropriate for you.

Breast implants alone will not correct severe sagging.

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Implants will not lift the entire breast, or correct severely sagging breasts, they can improve the overall appearance of sagging. Patients who are self-conscious about breast sagging are encouraged to consider the cosmetic procedure breast lift.

Breast Lift with an Implant

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This is a common question as we all want to minimize the incisions and scars if at all possible. There are several types of lifts that can be used to treat the specific needs of each patient.

In your particular case it is difficult to know without seeing a picture or evaluating you in person. For patients that want to minimize their scarring I do what is called a periareolar mastopexy augmentation. This is where the scars from the lift are limited to just around the areola. This type of lift in combination with an implant can give the correct patient a very attractive breast with minimal scarring.

I would make sure that you spend some time with your plastic surgeon going over sizes and your aesthetic desires. You should also consider taking him or her pictures to make sure that you are both on the same page about the results you are hoping to achieve.

I would also discuss this with a board certified plastic surgeon that performs the periareolar mastopexy augmentation procedure frequently.

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You may not need a breast lift, however to determine this you would need a consultation with a surgeon who has experience with performing breast augmentation on breasts affected by mild to moderate sagging. You can consider Allergan Inspira Truform 2 implants with a narrower base width for more projection.

Will breast implants lift a sagging breast

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I am afraid that a breast implant will not lift you, it might give an optical illusion of a lift for a short period of time, but once it settles in, the new breast and implant mound will be low on your ribcage. You might need to consider a breast lift, with or without an implant, but if you are a D, I think you likely have enough of your own tissue.

Breast lift with or without augmentation

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It is difficult to determine without a photo what your best option is, but if you're sagging or asymmetrical, and are looking for perkiness, as well as bigger breasts, implants may give you the answer. However, if you don’t want to be bigger, then a breast lift may be a better alternative. A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you want to go bigger, and also be perkier, it may be possible to have implants placed to fill out the sagging skin. The great thing about these techniques is that they can now be done with minimal scarring and performed as outpatient procedures without the need for general anesthesia!

Breast augmentation and sagging breasts

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Breast augmentation aby themselves can sometimes lift breasts a small amount.  However, breast implants alone are not the best option to lift breasts.  If your breasts are already large, placing implants will only make the situation worse.  A formal breast lift (mastopexy) is usually needed to get the best result.

Breast Lift with Breast Implant?

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Only in certain cases can implants be used to give a slight lift to the breasts. In the majority of women who need lifts, using implants alone will give the breasts what we call a "Snoopy Deformity." The breast will look like Snoopy's head in profile. This is because the breast tissue will hang off the breast implant instead of being centered over the implant.

It is difficult to speak specifically about what procedure you need without examining you, but the fact that you are a D/DD and need a lift, I doubt using implants alone will give you the look you want. The primary job of breast implants is to increase breast size which doesn't seem to be an issue in your case.

Hope that helps and good luck!

Dr. Babak Dadvand

Implants should not be used to correct large, saggy breasts.

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Although a small degree of sagginess can be corrected with implants, large ptotic (saggy) breasts will need mastopexy (breast lift). Often times, patients are afraid of mastopexy scars and request augmentation when in fact they need lift. With large implants, breasts will soon saggier than before. You should answer if you want larger breasts or perkier breasts. Given your current size of D/DD, you will have attractive size and shape with breast lift.

Breast Augmentation with DD breasts

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Breast Augmentation surgery treats small breast size.  It is not meant to correct primary problems of shape.    

If you are already a double DD, you will definitely need a lift to correct your shape.   Depending on the size you want to be, a small implant may be considered in conjunction with the lift.   

In your case, an implant alone would only increase your breast cup size and stretch the skin more worsening your breast sagging, like a rock in a sock.

Paul S. Gill, MD
Houston Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.