Breasts look flat and deflated and nipple sits too low. Which path can I take while avoiding breast lift scar? (Photos)

Question

Hello docs! Im 28 and have some visual concerns about my breasts due to weight loss. I’m not sure which route is the best to go. My complaints: breasts look flat and deflated, nipple sits too low Im trying to avoid the fake boob look, I don’t want them large and balloon shaped. And im also trying to avoid having a large vertical scar on my breast, so a traditional breast lift isnt an option for me. Should i just get a small breast inplant to fill the void of volume? Will that add some volume to the top of my breast and lift my nipple a little bit and make them look less saggy? Or do you think implants are not enough and I’ll need some sort of lifting technique as well. Is there other lifting techniques that dont involve the vertical scar? What about the “internal mesh bra”. I see it advertised often but cant seem to find any reliable info on it. Could i just get the internal bra or should i get a small implant + the internal bra? Any advice is greatly appreciated. Thank you so much.

Jacob Carlson, MD · Answer

Thank you very much for including the pictures with your inquiry. Based on the information and photos you provided, I would say that you can likely obtain a very reasonable result with a breast augmentation alone if you use an implant with a larger volume and more projection. Having those factors on your side will help push the breast tissue forward, thereby lifting the position of the areola somewhat. That wouldn't accomplish the same look as a lift, but it would be a very reasonable aesthetic result that can be accomplished through a small scar. Some surgeons are able to accomplish a lift using a "concentric mastopexy" technique, where the incision is placed only around areola. So, if you combined that with an augmentation, you might be able to avoid the vertical and inframammary scars used in the traditional Wise pattern mastopexy.
Using mesh alone wouldn't really do anything to address the areola position. The situation where I think mesh would be helpful in your case is if: 1) you use a heavy implant, or 2) you have had SIGNIFICANT weight loss (i.e. 50 lbs or more).

Breasts look flat and deflated and nipple sits too low. Which path can I take while avoiding breast lift scar? (Photos)

Answers (1)

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