Lift for Very Large Breasts (38G)

Question

I am 27 and have had 3 children in the last 7 years. After years of breast feeding my very large (38G) very perky breasts have lost a good amount of volume and are saggy. I have always had very large breast and I am still at the (38G). I don't want to lose any size, just skin and to get back to a nice look with as little scarring as possible, whats my best bet?

George Marosan, MD · Answer

You can lift even large breasts with just skin removal and leaving the desired volume. I've been doing this operation with a short scar technique which leaves a scar around the areola (many times this needs to be reduced in size) and a vertical scar. This technique involves a lot of internal suturing and rearrangement of the breast tissue and the skin is used as a cover and not as a skin brassiere like in the anchor type lift. The anchor scar type of lift will neccessitate some tissue removal to be able to close the incisions. The short scar technique leads to better projection, perkier breasts and better shape. The anchor scar lifts often leave the breasts boxy looking especially if you try to "package" a lot of breast tissue under a short vertical scar. True that the scars fade over time, but if you follow your patients long enough, you'll see that these scars in the anchor type of lift will not be in their original hidden location under the fold. Also, over time your breast fold will migrate down as opposed to the short scar lift where it actually rises over time.

Max Polo, MD · Answer

Even though you&rsquo;re still wearing the same bra size, probably to accommodate the extra, loose skin, you most likely have lost at least two cup sizes in volume. If your breasts were a G cup when they were perky, you should have plenty of volume remaining to maintain a nice shape after a breast lift procedure. There is no need for you to lose any more volume. Rather what volume remains can be preserved to reproduce the full, perky shape that you once had. In order to achieve this, however you will have to accept some scarring. It sounds like there is a large amount of excess skin present, in which case, an anchor scar or Wise pattern type lift would be indicated to yield the best result. The incisions with this surgery, although long, usually heal very well and are not very obvious once mature. Using scar products such as vitamin E, silastic and topical corticosteroids during the healing process is always recommended and can help to minimize scarring.

Scott C. Sattler, MD, FACS · Answer

Without a photo its impossible to answer this type of question- it sounds like you have large, sagging breasts- the solution to this problem, at least in my practice, is to do move the sagging breast tissue into a better position, or REMOVE it completely. These techniques are part of a breast lift, or breast reduction- both procedures will substantially improve your breast shape.

Otto Joseph Placik, MD · Answer

In plastic surgery, one of the most difficult problems is trying to get skin to shrink without scars or excising the excess skin. IF we could, we would not have to perform face lifts, tummy tucks, thigh lifts AND breast lifts. I am not sure of any way to lift your breasts, maintain your volume and avoid scars.

Brent Moelleken, MD · Answer

Very large breasts can certainly have a breast lift.

	However,  breast lifts in very large breasts tend to droop more quickly than if a reduction is done.

	As long as patients are OK with that, it can be a fine procedure to undergo.

Tom J. Pousti, MD · Answer

Thank you for the question.

	It sounds like you will be a good candidate for breast lifting surgery. This will not necessarily decrease breast size. Most patients undergoing this procedure will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry are met.

	 Best wishes.

Paul Gill, MD · Answer

Generally speaking, the more lift you desire, the more scar required.     Remember all scars heal side to side, not top to bottom, meaning a long well healed scar will look much better than a  poorly healed short scar.    

	The more important factor to consider is the method of breast lift.   A skin only breast lift, similar to facelift, is bound to stretch out over a year or two.   The longevity of a breast lift is achieved via parenchymal (breast tissue) reshaping.

	Make sure to visit with a board certified plastic surgeon and discuss your options.   I wish you a safe and happy result.

C. Bob Basu, MD, MPH, FACS · Answer

If you are seeking a lift, all lift procedures require some degree of scar to achieve better form. In addition, after your plastic surgeon has evaluated you , he/she may recommend a little volume reduction to help sculpt your breasts so you do not get a boxy result. Without an examination, it is impossible for me to suggest any specific breast lift techniques.

Darryl J. Blinski, MD · Answer

From your description you need a full inverted T incision lift that has scars. Sorry From MIAMI Dr. Darryl j. Blinski

Peter A. Aldea, MD · Answer

Your best option, based on your request, is to a have a Breast Lift or MASTOPEXY. You need to be aware though that the larger the breasts, the quicker they will sag after surgery. Since no living thing or inanimate object has ever beaten gravity you need to consider that the longevity of your Breast Lift may be prolonged by decreasing the weight of the breasts with a Breast Reduction.

	Dr. Peter Aldea

Lift for Very Large Breasts (38G)

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