What Can I Do to Get my Breasts Standing Up Again?

Large breasts can suffer aesthetically particularly after childbirth. A mastopexy will restore youthful dimensions to the breast. Volume adjustments such as breast reduction are sometimes performed at the same time.

If you have a DD sized breasts then a breast lift and moderate reduction probably will be best.  An implant probably will not be necessary.  The best way to get your questions solidly answered would be to consult with a BC PS

Dr. ES

       A breast lift or a small breast reduction may well be in order.  Adding implants will probably not achieve the outcome you desire given your back problems and desire for smaller breasts.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts and breast reductions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

If you're considering a surgical breast lift,
one way to see if it might help you is to put a pencil under your breast and
see if it stays there. If it does, a breast lift might be an option.  The only wayTo know is to haveAComplete examination any evaluationBy a board-certified plastic surgeon.


The most common breast lift operation, called mastopexy,
repositions the nipple higher on the chest wall. Women usually get this
procedure on an outpatient basis, meaning there's no overnight stay. It takes
about two hours and is usually done under general anesthesia.


 

Implants should not be used to lift a breast as this will
change in time, making the condition and droopiness worse in a matter of years.
It is almost impossible to give you an idea without a proper physical
examination.  There are a number of
measurements we used during our pre-operative consultation determined to
determine if a lift if needed.  Please
make sure you discussed this with your plastic surgeon and make sure or usable
over the pros and cons of each procedure. 
Best of Luck in your surgery!!

If your breast are long and deflated then you would need a lift and implants.  If you have sufficient breast volume you may want to only consider a breast lift.  The breast tissue that is below the crease can be used to fill in the central and upper quadrants.   A photograph would be needed to determine exactly the best procedure for you.  If you want to be smaller then a small reduction can be done at the same time.  

It sounds like you have answered your own question. A breast reduction will suit you well, by decreasing the breast size a cup size or two, and the reduction incorporates a lift to reposition the breast and its nipple/areola. 

A consultation with a plastic surgeon will help sort through the options. 

Hi Kandre,

It sounds like you may be a candidate for a breast reduction procedure. A breast reduction not only reduces the volume/size of your breasts, it can also be used to improve the shape of your breasts - putting the breasts back on the chest where they belong.

Breast lift surgery (mastopexy) always involves a small reduction of breast volume (some skin and soft tissue is always removed to reposition the remaining breast tissue). Breast lift can be combined with breast implant surgery (augmentation mastopexy), but this is reserved for patients who want their breasts larger, as well as lifted.

 

I hope this helps.

My best advice is to seek consultation with well experienced board-certified plastic surgeons who can demonstrate significant experience helping patients in your situation.

Having said that, your description is consistent with a young lady who would benefit from breast reduction/lifting surgery first and foremost. This operation will raise your breasts to a better position on your chest wall. Whether or not you decide to have breast implants down the line will depend on whether you are pleased with the shape/fullness achieved with the breast reduction/lifting procedures alone.

 You may find the attached link helpful to you learn more about the surgical options available.  Make sure you also learn about the scarring involved as well as the potential risk/complications associated with these procedures.

Many patients (If properly selected and who are doing the operations at the right time of their lives  psychosocially) accept the scars associated with breast reduction/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do in the field of plastic surgery.
 Stay away from “minimal” breast lifting operations (such as “crescent” breast lifting operations),  that are frequently associated with minimal results and carry the potential of unsatisfactory outcome as well.

 Best wishes.

Since you are already too big, you may want to consider a breast lift coupled with a reduction as the first step. I find that about half of my patients with your problem find that is all they need. The other half then get an augmentation with small implants later after the reduction/lift is healed.  The value of small implants is that they tend to sag less than the heavy breast tissue they replace.