What Can Be Done to Fix my Wide Set Saggy Breasts? (photo)

You need a breast augmentation and a breast lift.  You may consider performing a breast lift first and 3 months later put in implants that fit the new position of your breasts.  This two stage approach may cost a bit more, but will likely produce a more effective breast lift.  You will then be augmenting a prettier breast and, in my hands, produce a much prettier, bigger breast then a combined breast augmentation and breast lift.   Best wishes!!

      I would recommend a 300 cc moderate implant with a full breast lift, which can be used to reposition and advance tissue closer to your midline.  This gives the illusion that the gap is much smaller. 

You need a mastopexy combined with implants.  Unfortunately, as you noted, your breasts are wide set.  This will be difficult to correct.  Yours is a case in which I might perform the surgery in two stages.  first, perform the lift and in a few months you can add implants.  much less risky that way, and ultimately, you get a nicer result.

The base of the breast is narrow and the nipple/areolar complex is large in diameter and well below the inframmary fold.  You are a good candidate for a mastopexy which will correct all problems.

Thanks for your inquiry and picture.  I would reccommend a staged mastopexy (breast lift) followed by an implant several months later.   I want to emphasize that future pregnancy will affect the aesthetics of your breast.  Good luck.

In my opinion you will need a two stage procedure. The first is a slight reduction/ lift to improve the shape of your breasts and to lift the nipple and reduce the size of the areola. At a second stage you could have a breast augmentation to increase volume, upper pole fullness and cleavage 

You appear to be a good candidate for an augmentation and mastopexy. The distance between the breasts is difficult to fully correct, but using a regular profile (called a moderate profile in the Mentor series) will give better base diameter of the breast and lessen the distance while the mastopexy/lift will reduce the size of the areolae and give more fullness in the upper part of the breast to give you the perkiness. Make sure you discuss your concerns and have a realistic expectation before proceeding as this a challenging issue. Good luck.

You will always have an abnormally widened space between your breasts no matter what is done (that is prudent). From your photos, you would definitely benefit from a mastopexy that would aggressively address the disproportionate size of your areolas (in addition to the lift). In order to reshape the breasts to a more desirous contour, an anchor shaped scar would need to be performed. A lollipop approach would still leave you with significant deformity.

At the same time, placement of an appropriately sized implant should/could be performed.

Hello,

Thank your for the question and photos.  You will need both an augmentation to add upper and medial pole fullness as well as a circumvertical breast lift (lollipop).  The decision that will need to be made is size of implant and position of implant.  These two decision will require a more thorough discussion of your goals as well as an in-depth examination.  You may also choose to stage your procedure.  This is not done as often anymore since the combination of breast lift and augmentation can yield good result performed at the same time but there are some subtle benefits from doing so in your case.  It will be important to understand that your breast shape will place some limitation on what can be achieved in one surgery setting alone.  Have several consultations with board certified plastic surgeons to get an idea of what is available.  You will likely benefit from a MP or MP+ silicone implant and either a circumvertical or full breast lift.

All the best,

Dr Remus Repta

Dr Remus Repta

There are several factors  concerning your existing anatomy that must be considered.  Your breasts point laterally, you have a wide distance between the breasts, you have a wide chest with a narrow based breast, there is significant sagging and wide areolas.  A surgical plan for you would include a wide based implant and a vertical mastopexy.  The wide based breast will set a good platform for the base of the breast pyramid.  The mastopexy will center the breasts over the implant.  With these considerations in mind you should get a satisfactory result.