Is this already grade 2 ptosis? Which surgery would be best for my breasts? (photos)

Your are low on the chest wall and you would benefit from a breast lift using 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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Best Wishes,Gary Horndeski, M.D.

The answer to your question is that the type of surgery depends to some degree on the type of look you desire.  Without seeing the nipple location in relation to the inframammary fold (fold at bottom of breast attachment to chest wall), I can’t definitely say what class ptosis you have.  However, you do have photic, saggy breasts with excess stretchy skin, low nipples and distorted, stretched out areolae.  I would recommend a breast lift to firm and reshape the breasts, placement of a modest sized implant to increase cleavage fullness, and reduction/reshaping of the areolae.  If you didn’t want to be any larger or even wanted to be smaller, then I would remove some of your breast tissue at the same time, but still use the implant to increase upper breast fullness and overall firmness.  This is a standard approach and would give you youthful attractive breasts.

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast lift with small implant with position  subglandular with incision T inverted., in your case its recommended get a consultation in personal with a plastic surgeon to determinate how many cc do you need to get a very well result.

Thank you for your question. You are correct, based on the pictures you provided you have 2nd degree droop. Your breast volume seems adequate, so the primary correction is a lift without implant. Our lifting techniques in recent years have included a significant amount of upwards gland mobilization and internal breast parenchyma suturing along with chest wall plication for more long lasting results that don't simply depend on the skin tightening to maintain support. You could add an implant if you want a bigger breast size, but I would not recommend it given your adequate current breast volume. The weight of the implant would accelerate the deterioration of shape in the long term. I would frequently add an implant in a case such as yours earlier in my career in an effort to satisfy their desire for D or DD cup. Having performed over 12,000 Breast surgeries and 8,000 implants over the last 25 years and having had the privilege of long term follow ups on my patients, I have come to the consensus that the weight of the implant in a patient starting out with a full C, as you are, significantly compromises the long term results. In fact the best long term results for lift procedures are in countries where the aesthetic "norm" for breast sizes are smaller than those in the US. Brazilian surgeons at international meeting routinely show 10-20 year follow up pictures that have withstood the test of time, as their patients are content with B and C breasts as opposed to D and DD. Remember the reason your breast are ptotic or droopy is because they have been stretched and have lost elasticity. No matter how effective we are as surgeons in restoring shape, the biggest predictor of longevity is the amount of weight exerted against  the skin flaps long term. "less is better".
That being said, if a patient with ptosis presents with an A, B or small C cup to begin with I do not hesitate to add an implant, but remain conservative. Conversely, if they are a D, DD or DDD I will highly advise reducing the breast tissue at the time of the lift.
As far as the skin excision pattern, unfortunately, you will need more extensive skin removal. You are not a good candidate for "minimal scar" lifts (crescent, periariolar or circumvertical). With attention to detail and meticulous closures, most Board-certified Plastic Surgeons can achieve excellent scars, baring a propensity for bad scar formation.
Do your homework, consult with several board-certified plastic surgeons who specialize in Breast surgery, and be conservative in your choice of breast volume. A large lifted breast might look good for a year, but I guarantee beyond that there will be rapid deterioration of shape.
Best of luck, 
JP Riou, MD FACS
Yale Trained Plastic Surgeon, specializing in Breast for 25 years

You do have grade 2 moderate ptosis. Breast lift with augmentation would be my choice for good and long lasting result. Good luck.

Thank you for your pictures and questions. Although it may not matter, I would agree that you have grade II ptosis. The ideal procedure for you depends completely on your ultimate goals. If you want to have a more lifted breast that is smaller but still very natural in shape, then a mastopexy alone might be perfect for you. If however, you are looking for something that is slightly larger with more upper pole fullness, then you might need an implant as well. I do not think you are going to have a pleasing result with an implant alone. Make sure you see a plastic surgeon who is board certified by the American Board of Plastic Surgery for a consultation to discuss your options.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Based on your photos and my experience with past patients, I would recommend a mastopexy. If you want to be a larger size, you can add implants. This can be done at the same time, which most patients find convenient, but it also increases the chances of a complication. Also, tou don’t get the chance to see if you would be happy with a lift by itself. You can always get breast implants when you are healed from your lift if you decide you want more size or firmness to the upper part of the breast. I recommend getting a few in person opinions. Choose a board certified plastic surgeon who has lots of experience with cosmetic breast surgery and who has before and after pictures that appeal to you. 

Hello and thank you for your question. Based on your photograph, you are a great candidate for a breast lift.  This can be designed to result in an improved shape and contour of your breasts while minimizing scar appearance.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.

Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon
 

will likely give you the result you are looking for. Some will be happy with mastopexy alone, but most woman desire the upper pole fullness that can only be achieved with an implant

Based on your photos- you definitely  have an increased distance from your sternal notch to your nipple. You appear to be a good candidate for a mastopexy. During your in person exam with an experienced Board Certified PS- all of your best options can be reviewed in detail and you will then be in a position to make the best decision for yourself.