Saggy non-existent boobs - what are my nonsurgical options to fix this before surgery? (photos)

You are not alone! This is one of the most common issues that brings women into a plastic surgeon's office. First, it is important to consider whether you are planning for additional pregnancies and breast feeding. Second, there are not good non-surgical options to correct breast deflation and ptosis (aka droop). There are 3 main surgical options, which could potentially also be combined, depending on your desired result. 1. Breast lift (aka mastopexy) - this removes the excess skin and repositions the areola higher on the breast.2. Breast augmentation with an implant - depending on the size of the implant, you may not want/need a breast lift to achieve your desired appearance.3. Breast augmentation with fat grafting - this is very dependent on your body habitus (how much extra fat you have for transferring to your breasts) and how large you are wanting your breasts to be. To achieve youthful fullness in the upper part of the breast, augmentation with either an implant or fat is the best option.

Hello, thank you for your question. Congratulations on the little one! This commonly happens to breast tissue after children especially after breast feeding. Since the skin stretches out during pregnancy, after this it the breast size shrinks into original size and the skin that once stretched out becomes loose, giving you a more deflated look. The skin can retract on its own but it wont return to original breasts before children. There has not been any studies that show other methods outside of surgical approach to be effective. Some procedures offered by a plastic surgeon can be: implants which help give you back some of the volume lost, or a fat transfer to the breasts. The fat transfer only will increase your cup size by half a cup. A consultation with a plastic surgeon is the way to start and see what approach is better for you. If you are considering more children and breast feeding, you want to see what is the best option for you. thank you

Breast volume loss after pregnancy and breast feeding affects the vast majority of women. So please be kind to yourself! Weight gain can increase breast volume, but must be balanced against your general health and ideal BMI. Unfortunately, there aren't many reliable, healthy, sustainable methods of increasing breast volume for most women. Surgical options to augment breast volume include implants and fat grafting. Thanks for your question and good luck.

I do not know of any non surgical treatment that will have any effect at this time. You could get your volume back plus more by having a breast augmentation. A dual plane technique would help centralize your nipples without the cost or scar with a lift. Good luck.

Breast atrophy (loss of breast tissue and volume) is very frequent after breastfeeding. In your case, this can be addressed with unilateral breast lift followed with augmentation of both breasts. Good luck.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. You may require a lift but it is not ideal to base this decision on the given photos. You can select a range of implant sizes based on the measurements your plastic surgeon will take. Unfortunately, there aren’t any non-surgical options to solve this common problem. I hope this helps.

Dear rstratmann23,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good evening,
You are an excellent candidate for a donut mastopexy to lift your nipple position and tighten your skin, and a submuscular augmentation with saline or silicone implants, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office.

A padded bra is what can be done without surgery. I would suggest meeting with a board certified plastic surgeon, being examined and measured, and trying on the range of implants that best fits your frame and tissue. Then, you can actually see what you like.

There are no non surgical options to increase breast volume other than pregnancy (which is obviously temporary) and weight gain (which is not recommended unless you are underweight). You do appear to be a great candidate for breast augmentation which will predictably provide the volume you are wanting. You should have a nice result!