Large Natural Breast and Wanting Implants

Question

Im 35 yrs old and have 36ddd breast. They are starting to sag and would like to stay the same size but get back to a fuller, perkier breast. I have been blessed enough that they dont point straight to the ground. Is there a way of doing it without a breast reduction? Afraid of the scar down the center of the breast. Can I put in a bit of a larger implant to fill them out or do I have to do both? What would be my options? thanks

Thomas Fiala, MD, FACS, FRCSC · Answer

Your question is a common one.  While a breast lift can be done without reducing your size, the trade-off of incisional scars is sometimes hard for patients to get their head around.

	Adding an implant to your natural 36DDD (=36F) size is not the right answer.  Why?:

	1)  It would add a cup or two to your size...and you said you wanted to remain the same size

	2)  Implants do not lift the breast....you'd just have a bigger version of what you have now.

	3)  The extra weight of the implant could actually accelerate any skin stretch issues you are having.

	 

	Honestly, I'd recommend either to do a lift, or leave them alone....but not to put an implant in.

	 

	All the best,

Marie E. Montag, MD · Answer

In your situation, the best answer truly is a breast lift. That will restore your upper volume (the 'perkiness'). Adding an implant would only add to the weight and increase the droop. Unfortunately, sometimes you have to accept the scar to get the shape you want.

Paul Vitenas, Jr., MD · Answer

I agree with my colleagues that an implant alone is probably not going to give you the look that you want. A lift and a small implant often gives the best result for prolonged upper pole fullness and the perky look. You will have to weigh the pros and cons and make a personal decision here.

Otto Joseph Placik, MD · Answer

In my opinion, implants would not provide you with sufficent lift and could result in the appearance of a larger more "saggy" breast. You have to weigh it out and figure out which is worse, a well maintained scar or saggy breasts after augmentation.

Shain A. Cuber, MD · Answer

If you are looking for more youthful breasts you should really consider a breast lift as opposed to breast implants. A common misconception about implants is that they will give you lift, which isn't always true. Adding implants to a woman with larger breasts, such as yourself, will only give them more size and weight which can contribute to further sagging. After having a breast lift by a qualified plastic surgeon, scarring should be minimal, and in the end I think you will be more satisfied with the overall results. Consult with different plastic surgeons and discuss all the different techniques used for breast lift surgery and see which you are a candidate for.

Bivik Shah, MD · Answer

You could have a breast lift to move the nipple and areola (dark part around your nipple) back up to the middle of your breast and remove excess skin. This would involve scars on the front of your breast but they tend to fade well over time. A breast augmentation would not accomplish this goal - an implant may fill out your skin better but will not move your nipple back up to the middle of your breast. Good luck!

Shahin Javaheri, MD · Answer

Looking at your photo it would appear that a breast lift would be the best option.  It would be a natural way to have the fullness that you desire while keeping in mind your frame.

Delio Ortegon, MD · Answer

I agree with the group in that adding an implant will not solve your complaints. You may have a temorary fullness but will certainly be larger and will eventually have more breast sagging. You would be best served with a breast lift. If you are concerned with scarring find a local surgeon that performs a vertical lift as these types have significantly shorter scars.

Scott E. Kasden, MD, FACS · Answer

You have large breasts that have significant ptosis (sagging).  Regarding your question, you can not add an implant for fullness AND stay the same size.

	The scars from a breastlift fade and are usually not bad after healing.

	Adding an implant may cause increased sagging, or if placed where it should be aesthetically, will look "funny", as the breast will tend to "flag" off of it.

	So a lot to think about.

	 

	sek

Karol A. Gutowski, MD, FACS · Answer

Based on your picture, a breast lift may be better. Implants will make your breasts larger and over time the may sag more.

Large Natural Breast and Wanting Implants

Answers (15)

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