What Can I Do to Fix my Sagging Breast over my Implant After Having My Baby? (photo)

Thank you for the question and pictures.

You will benefit from breast lifting and/or exchange of breast implants. Exactly which procedure and size/type of breast implant will be recommended to you will depend on your goals.

I would suggest that you do the following:

1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.


2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "huge and fake” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.


3. Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.


I hope this helps.

Thanks for providing the photos, which clearly show that your breast tissue is sagging down over the implant - this is called "ptosis". Your breast implants don't change with time, but the overlying breast tissue will change with pregnancy and breast feeding. Pregnancy causes the breast tissue to increase in volume, stretching the overlying skin. The volume generally decreases after breast feeding, but often the soft tissues don't spring back to where they were - this leads to the sagging. The good news is that this can be surgically corrected by a procedure called a "mastopexy" (or breast lift). It does involve scars on the breast around the nipple (sometimes even a "lollipop" scar). This procedure aims to put the breast tissue back up onto the chest where it belongs. Talk to your local plastic surgeon for more information. I hope this helps.