Thank you for your questions. You would be a good candidate for a breast lift. It will help with the asymmetry and droopiness. I recommend meeting with a board-certified plastic surgeon to discuss your options, but I believe a breast lift will help immensely.
Best of luck!
Thanks for posting your questions and photographs. The right procedure for you depends on many factors, most importantly your goals. Based on your photographs you display significant breast ptosis and its possible you have weak skin tissue which is prone to sagging. You would be able to achieve a good result with a breast lift but you need an in person consultation to determine the right surgical approach for you. Arrange a consultation with a fully qualified plastic surgeon to discuss your options.
Candidates for Breast Lift (#Mastopexy) surgery are women who have #saggingbreasts due to past pregnancies, genetics, or aging. Often times the sagging is too great to be treated by implants alone. Women with asymmetric or enlarged nipples or areolae (pigmented areas around nipples) also may be candidates for a breast lift or a modification of a lift. #Asymmetric breast can be adjusted by adding or removing volume. One side can be tightened more or less than another.
A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.
I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.
Based on your photos, you appear to have very weak tissues which will be prone to re-drooping after surgery. As a result, I would be very cautious about adding an implant which would increase the weight of the breast. A lollipop or anchor scar lift technique would be appropriate (I would need to see you in person to know which I would recommend), and you could do a small reduction on the larger side, or an asymmetrical reduction on both sides to even out the volume. If you wanted to be a little larger after surgery, I would lean toward fat grafting the upper breasts to improve volume without loading the breasts with as much weight as you would have with implants. Make sure you see a very experienced breast surgeon as your anatomy will be more challenging than average. Best of luck!
In my practice, the right choice of procedure for any patient will depend on the answer to a few simple questions;
- Do I like the size of my breast? If the answer is yes, then augmentation is out of the question (even if your doctor tells you that you need implants to lift your breasts). If the answer is that my breasts are too big, then the answer is you need a reduction (still no implants). If the answer is that I would like to be bigger, then any procedure should include an augmentation.
- Do you like the shape of my breasts? If the answer is yes, then any lift is off the table and return to question 1 for volume discussions. If the breasts are sagging, then you need to decide if you get only a lift (if the volume is fine) or an augmentation-mastopexy (for small breasts) or with a reduction (if they are too big).
A few caveats:
- Breast implants do NOT lift breasts, if anything they make sagging breasts sag more!
- Breast lifts will reduce the volume a little bit.
- There are many different techniques for breast lifts and augmentation mastopexies, be sure that your physician has a great deal of experience and that the results you see in their photogallery looks like what you want.
Looking at your photos suggests that you would be an ideal candidate for a Lejour Breast Lift. In my experience. this technique creates the best shape, as well as the most durable result.If you would like more information on this, please read my book "Cosmetic Breast Surgery - A Complete Guide from A to Double D".
Based on these photographs you appear to be an excellent candidate for a breast lift. I would suggest that you will not get the position shape and symmetry that you would like with an implant
If you want your breast fuller and are happy with the shape of them, then an implant will be fine. Keep in mind an implant will only "fill our breast up" it will not "lift them up". They will look just like they do now, they are just bigger and fuller with an implant only. If you feel this will meet your goals, then an augmentation should be fine. If you are unhappy with the position of your breast and feel they are too low, then an implant will likely not satisfy you and you will want to consider the lift. A lift will "lift them up" and put them in a higher position, change the size of the areola and "lift" them off of your chest. Often times both of these procedures are combined to achieve an optimal result. By lifting them and adding volume, the breast will not only sit higher on your chest but will also have the nice fullness from the implant. In your case, you will be better off with both a lift and an implant.
Dr Scott Ennis
Thank you for your question and photographs. It does appear that you would need a breast lift to address the droop that you are describing and give you a perkier breast. Asymmetry could be addressed with an implant or reduction of the larger breast. Best to consult with a board certified plastic surgeon for an in-person examination. I wish you good luck.
Aloha, it does appear that a lift would be helpful to you.While a Donut Lift would limit the scar to around the areola, a Vertical or Lollipop lift would lift more and last longer. Although you have good size, if you want more upper fullness, you may also need/want a small implant under the muscle.I recommend that you see an experienced board certified plastic surgeonto review your options after an office consultation and thorough exam.
Mahalo, Dr. D
Breast lift for droopy boobs
Mahalo for your photos. Your current breast volume could be nicely repackaged in a perkier position with a skin reduction mastopexy. Augmentation of the breast volume is optional and should be discussed with your surgeon if desired. Ask also about effects of any future pregnancies, breast feeding, mammography, etc. as these will directly impact your breast results looking ahead. I've been very happy with our long term results with the vertical "lollipop" incision lifts, but you should have several surgeons' input before deciding on your personal strategy.