Wanting a tear drop, natural look - Implants or lift or both? (Photos)

Question

I’ve been struggling with sagging after breastfeeding 7 years ago. I do not like the way they look and want to get work done. I want them natural looking so I was considering just adding implants to have the natural look. I don’t want round and perky and like them tear drop and natural. I’ve considered just the life and currently I wear size d with extra skin. I’m not sure what direction would be best. Good to note I scar easily and am not sure if I want more kids. But I do know I want change now

Leland Deane, MD, FACS · Answer

I think you'd do great with a breast lift/mastpexy. No implants!! The mastopexy with give you a pretty shape along with a smaller areola which is in a much better position. The photos are a little limited, but it seems that you have enough breast 'volume' to get a natural tear drop shape. 
Hope this helps, and best of luck,
Dr. Deane

Jeffrey M. Darrow, MD · Answer

Thank you for your photos.  The simplest, least expensive, easily revised option to improve your breast shape and create a natural tear drop look is a simple breast lift.  You have a Grade 2 ptosis, ie breast sagging, which would be corrected, however, your breasts would still be tear drop shaped.  Adding implants would increase your costs, increase the size of your breasts, likely obligate you to future procedures and costs, likely make your sagging worse and create a rounder breast shape with fullness in the upper part of your breasts.  Your incision lines may be affected by future pregnancies but incision lines can be managed to maximize your scar quality.  Have a detailed consultation with the Plastic surgeon. Best wishes.

Gary M. Horndeski, MD · Answer

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 (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jacob Carlson, MD · Answer

That's a great question, and you provided a lot of the information that a plastic surgeon would ask during your consultation.
I think the two best options in your case would be either a breast lift or an augmentation with a breast lift. Either of those options would result in scars that look like an anchor (around the areola, vertically down the center of the the breast, and then along the inframammary fold).
The reason I would advise against doing just implant in your case is that I think it would lead to a "waterfall deformity." The implants would give your increase volume, as well as projection and fullness at the top of the breasts, but your natural breast tissue would slide off the front of the implant which would result in a very flat appearance to the middle and lower thirds of the breast.
With a breast lift alone, I would anticipate that you would lose about 1 cup size. The areola and nipple would be lifted up at least to the level of your inframammary fold (and possibly higher), and your would have some of the natural breast tissue repositioned higher on the chest to give more volume and projection there.
The one thing you wouldn't achieve with just a breast lift is significant upper pole fullness. In order to get upper pole fullness, I would recommend using an implant. To achieve a "natural" and "tear drop" appearance, I would recommend placing the implant underneath the muscle and choosing an implant with less cohesivity. If upper pole fullness isn't a concern, then I would say a breast lift alone is perfectly reasonable.

Darryl J. Blinski, MD · Answer

Based on your post photos, I agree a full anchor Lyft with dual plane small implants is your option. Expect fees to range from $8000-$12,000. Best of virtual concert with.

Kadir Berat Oyur, MD · Answer

Hello, it is Dr. Berat. I would recommend considering a breast lift if you are looking to enhance both the shape and position of your breasts. If you're interested in increasing size as well, implants can certainly be an option to achieve your desired results.

Mehmet Ozdemir, MD · Answer

Hello, this is Dr. Mehmet. After evaluating your concerns, I recommend a breast lift to achieve a more elevated and youthful breast shape. If you would also like increased breast volume, we can combine the procedure with breast implants to achieve a fuller appearance.

Wanting a tear drop, natural look - Implants or lift or both? (Photos)

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