Mastopexy w/out implants vs exercise create perky breast post kids; I care about perky vs size! What would be my options?(photo)

27 y/o 4'11" was 125 for 3+ yrs to 106 in 2015 post bc removal (haven't been since h.s. i personally feel better being more solid). My breast grew rapidly in h.s. from a to large c in a year then dd the following yrs. 1st pregnancy took them to an e cup. Considered reduction after 1st child then they shrank to c cup (with saggy skin) sagging with 1st child but worst with second. Any exercise options vs augmentation? If not, what would be my options just to have perky natural looking breast?

Doctor Answers 25

There's no way to exercise away extra skin

At the very least, you could use a breast lift.  That will give you a more youthful shape, but won't add any volume (actually, it will seem like you lost volume).  If you want to re-establish some volume in the upper part of your breast, then add an implant.  This will make you look like you're wearing a push-up without wearing a bra.  That's what a lot of women refer to as "perky."  Adding just an implant is not a good option -- you have too much extra skin.  Good luck!


Columbus Plastic Surgeon
5.0 out of 5 stars 15 reviews

Perky Breasts

You cannot exercise your breasts back to perky. The only solution is to have a breast lift, which is called a mastopexy. You should meet with a plastic surgeon who can examine you and then tailor a plan to help you achieve your goals.

Perky breasts after children

There is no exercise that will give you perky breasts. In your photos you appear to have a moderate amount of breast tissue. A breast lift will elevate your nipples and "perk up" the volume giving a better shape. A lift alone tends to sag somewhat during the healing process (2-4 months) causing a loss of fullness in the upper and upper/midline area. This can be avoided by placing an implant at the same time as the lift. This approach keeps the upper fullness but also will increase your overall breast size. 

You should seek a consultation wth a board certified plastic surgeon who can evaluate your specific tissues and get a clear understanding of your goals. Good luck. 

Julian Gordon, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

Breast augmentation with or without a lift

Thank you for your question.  Based on your submitted photo and the goals, the procedure that would most benefit you is a breast lift with augmentation to produce beautiful, perky results.  Schedule a consultation with a board certified plastic surgeon to discuss your options and work together to create a surgical plan that tyou are comfortable with and best helps you achieve the size and overall look you desire.

Best regards,
Dr.  Lane F. Smith, MD
Plastic Surgeon
Las Vegas, NV

Lane Smith, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 84 reviews

Breast Augmentation with Lift

Sadly, no exercise is going to help lift your breasts. As a mother of 3, I wish that there was. You will need either a breast lift to place your breasts higher on your chest, restoring perkiness or a breast lift with an implant if you also would like more volume. I suggest that you schedule a consultation with a board certified plastic surgeon in your area to discuss your options.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 51 reviews

Mastopexy w/out implants vs exercise create perky breast post kids; I care about perky vs size! What would be my options?

The only solution to making you have aesthetic breasts is to have a breast lift possibly with implants for projection.  There are no exercises that will shrink the droopy skin and return your breasts to their prepregnancy state.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
4.7 out of 5 stars 12 reviews

Breast lift is your best option

Thank you for your photos and question.  Exercise will not correct the breast appearance.  A breast lift would reposition the breast tissue and place the nipple-areola complex in a more aesthetically pleasing position.  It appears shape and appearance are most important to you, so I would recommend a breast lift (mastopexy).  If you desired larger size down the road, an implant would help add volume (and doing so as a second stage is a good way of doing things).   I hope you achieve the look you desire!
For more information on breast lifts, please visit the link below.

W. Bryant Walker, MD
Jackson Physician
5.0 out of 5 stars 7 reviews

Do Implants or Exercise "lift" a breast.... No they do not.

No one wants a lift but some woman need them. I think you're unlikely to be satisfied with just an implant, and will either have a lift now or have a 100% chance of having one in the next 5 years if you try just implants. No exercises will lift or improve breast appearance.

This is probably the most common question asked by my cosmetic breast patients with any droopiness or ptosis of their breasts. There is no absolute or correct answer. It depends on your (the patient's) expectations and desires. Just remember the implant needs to be centered directly behind the nipple, so wherever your breasts/nipple sit currently this is approximately where you can expect the implant to be positioned/settle. Breast implants alone simply add volume to your breasts. They do not lift or shape your breasts. If you are happy with the look of your breasts and just want them to be a bit fuller then a breast augmentation alone may work. In my practice, my patient's generally expect superior pole fullness/cleavage and a youthful, perky breast appearance without wearing a push-up bra so I tend to offer more lifts. Most of these patients are initially hesitant about the scarring, when in fact they should be more concerned about breast shape, contour and nipple position. I educated them that scars mature and fade over 6-12 months, when breast shape, contour and nipple position generally don't improve and, may in fact, worsen over time. In my experience you could certainly have an augmentation alone and end up with a "natural" or "matronly" result. You may be perfectly happy and satisfied with your result. However, many of my patients who chose this route then will come back with a horizontal tan line across their chests (above the top of their implants) from a sundress or tube top, asking why when they wear a sundress or top without a bra, their breasts sit low, or do not have superior fullness. I re-explain that the implant must be centered behind their nipple and that generating this superior fullness would require a larger implant combined with a lift. Some elect to have the lift, and others chose to push their breasts up in a bra to generate superior fullness and cleavage. Finally, attempting to avoid a lift by using an extremely large, high or extra high profile implant is a nothing more than a short term Band-Aid, and does not address the root cause/problem (i.e. stretched/lax and excess skin/tissue). This does nothing but postpones the lift for a short period of time and will only lead to further tissue stretch and thinning requiring an even larger lift to fix. Ultimately, this approach generates a much more complex (and expensive) surgical problem just months to a few short years down the road, so I never encourage patients to go with this approach. Some of you may then ask why some surgeons you've seen offer this approach to droopy breasts, typically without discussing the other abovementioned options and each options pros and cons. The truth is that it's far easier and quicker for a surgeon to place a large implant without regard for the durability, or lack thereof, than perform a more technically challenging, and longer, lift procedure.

Significant ptosis cannot be camouflaged by breast augmentation alone.

I really don't think you'd be pleased by breast augmentation alone. The areola is fairly low on the chest wall and is large in diameter.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

Breast changes following children

I appreciate the photos that you have posted as well as the narrative you have given about the changes in breast shape and size with your pregnancies. First of all, you will need a lift. Exercise cannot change the amount of skin that you have in  your breasts. This can only be done with surgery.
Your concentration of shape rather than size is good. However, you may still need a small or modest size implant to get the shape you want. Sometimes the breast is made a little smaller with a breast lift.
A couple more things to consider. I would make sure that you are finished having children before you go forward with surgery. Otherwise you will probably end up close to where you are now.
Another thing is that you definitely do need a lift. If someone tells you that you can be managed with just putting in large implants -- run, don't walk, out of that office!
Lastly, please know that you will always have more fullness in the upper breast and look more lifted when you are wearing a bra. When you have a good amount of natural breast tissue, there will always be some relaxation of your breasts when you remove your bra. This is natural, and really more attractive.
Your next step will be to consult with a board certified plastic surgeon.
Best of luck!

David B. Reath, MD
Knoxville Plastic Surgeon
4.9 out of 5 stars 104 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.