Sagging breasts — best option for a lifted, more shapely look? (Update with more photos)

Question

I’m unhappy with the sagging and loss of upper fullness in my breasts. My nipples sit lower than I’d like, and I feel my breasts look droopy and bottom-heavy. My goal is a lifted, perkier, more youthful and shapely appearance while still looking natural and proportional to my body. Based on my photos, would a breast lift (mastopexy) alone achieve this, or would combining a lift with a reduction create a better shape? What type of lift and scar pattern would likely give the most defined, rounded result

Gary M. Horndeski, MD · Answer

You are an excellent candidate for the Bellesoma. 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 (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Mehmet Ozdemir, MD · Answer

Thank you for sharing your concerns and photos.
Based on your goals, you appear to be a suitable candidate for a breast lift. This procedure can elevate the breasts, reposition the nipples, and create a firmer, more youthful, and proportionate shape while maintaining a natural look.
A consultation would help determine the most appropriate lift technique for your anatomy and desired outcome.

Kadir Berat Oyur, MD · Answer

Thank you for sharing your concerns and photos.
Based on your goals, you appear to be a suitable candidate for a breast lift. This procedure can elevate the breasts, reposition the nipples, and create a more youthful, lifted, and proportionate shape while maintaining a natural look.
A consultation would help determine the most appropriate lift technique for your anatomy and desired outcome.

Leland Deane, MD, FACS · Answer

You would do well with a breast reduction, which always, in my practice, involves a 'lift' to give the breast a better shape. Given your photos, I see you getting an excellent result.

Jacob Carlson, MD · Answer

Depending on your aesthetic goals, either a breast lift (mastopexy) or a breast reduction would likely yield the best results. Either of those options would likely require Wise pattern scars - i.e., scars that look like an anchor with an incision around the areola, an incision from the bottom of the areola to the inframammary fold, and then an incision along the inframammary fold. Both of those options with lift the areola up higher on the breast and remove excess breast tissue from the lower pole of the breast.
The main difference between those two options is how much breast tissue is removed. With a breast lift (mastopexy), most patients lose about one cup size. With a breast reduction (at least with most breast reductions that are covered by insurance), about 50-60% of the breast volume is removed, with the intension of removing the excess weight that is causes problems like neck pain, upper back pain, headaches, etc. If a breast reduction is performed in the private practice setting, more breast tissue is removed than would be removed from a breast lift, but the surgeon doesn't necessarily have to remove a specific amount of tissue in order for the surgery to be covered by insurance.

Donovan Rosas, MD · Answer

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision. 
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.   
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure.  Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos, you are a reasonable candidate for a lift/reduction which will improve shape and nipple position. A small implant can add upper pole fullness. This can be undertaken in conjunction with the reduction/lift or in a staged fashion.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

Camille Cash, MD · Answer

Based on the submitted photos and desired look you may consider a breast lift with autoaugmentation.  You can combine this with a reduction if you want less volume.  This procedure will remove excess skin (and tissue if reduction elected) and lift the position of the nipple.  The autoaugmentation uses your own tissue to give more upper pole fullness.  This is different than a fat transfer.  I've included a video that I hope you find helpful.  The next step is to schedule a consultation with a board certified plastic surgeon near you.

Darryl J. Blinski, MD · Answer

Great posted photos!!! I recommend full breast lift with small reduction for shaping. Fee ranges from $5,000-$9,000. Best to virtual consult with.

Sagging breasts — best option for a lifted, more shapely look? (Update with more photos)

Answers (8)

More Breast Augmentation Questions

My priority is a natural sloped look with rounded lower fullness - Can I avoid a lift? (Photos)

225cc Breast Implant Double Bubble - what can I expect?

Low tissue patient (55 kg) – 235–250cc Motiva Ergonomix 2: Dual plane or subfascial? (Photos)

How can this be fixed? The lower part of the breast is not round and feels loose. Will I need a lift? (Photos)

Will I be safe flying to Peru 15 weeks post op from getting breast implants?

1 year PO - Uneven Nipples and Breast Tightness - should I get a second opinion? (Photos)

WE SEND PRETTY
EMAILS