What are the best options to make my boobs look good again? (Photo)

Question

Hello! I'd really like my boobs to look good again as they are not where I want them. Docs, I'd like your evaluation and what procedure options. Thank you very much.

Warren Schutte, MD · Answer

You appear to be a great mastopexy/breast lift candidate. Your surgeon will be able to show you a realistic position of your breasts with a breast lift. At that point, you can determine if you want to keep all of your breast volume (which will match up nicely to your body habitus) or if you want to reduce some volume.

Paul M. Parker, MD, FACS · Answer

You would likely do best with a lollipop breast lift (ie, vertical mastopexy) along with a small reduction or auto augmentation transferring some of the breast tissue from your lower breast to your upper breast with sutures. These are the kinds of things that are best discussed with a board certified plastic surgeon experienced in breast lift surgery. Hope this helps. Good luck!

Christine Fisher, MD, FACS · Answer

Thank you for your question and for sharing your concerns. As a board certified plastic surgeon, the first priority in consultation is to clearly understand your goals and how you feel about your current breast size and shape.
If you are generally satisfied with your breast volume but would like the breasts lifted to a more aesthetic position, a breast lift with auto augmentation is often an excellent option. In this procedure, an anchor type incision pattern is used to lift and reshape the breast, reduce the size of the areolas, and rearrange your own breast tissue to create a fuller, more youthful contour, while preserving the majority of your natural tissue.
To help maintain your results over time, an absorbable internal support (surgical mesh) is typically recommended to act like an internal bra as you heal. Contouring liposuction of the outer breast and armpit area can also be performed to refine the overall shape and transition of the breast to the chest and upper arm.
If your goal includes a smaller breast size, an appropriate amount of breast tissue can be removed during the same operation while still focusing on shape and proportional balance.
It is important that you consult in person with a board certified plastic surgeon who specializes in breast and body surgery, so your anatomy, medical history, and goals can be carefully evaluated and an individualized surgical plan can be created to help you achieve your results safely.

Laura Roider, MD · Answer

Hey Lydia2117809! Thanks for the question. There are a few options to help "make my boobs look good again". In your photos I see the nipple position is below the breast crease but you still have good volume. 
Options for treatment include: - Mastopexy alone (Breast lift) - In addition to the lift, this would reposition the nipple complex, reduce the size of the areola, and slightly reduce the size/volume of your breast. - Mastopexy with Augmentation (Breast lift w/ Implants) - In addition to the lift, you could benefit from implants placed in the subfascial plane. This would allow you to maintain or increase your size and help to achieve long term upper pole (cleavage). - Additionally, you could add liposuction of the pre-axillary tissue to either of the procedures above. This will allow your surgeon to address the tissue that hangs over when wearing a strapless top. 
Ultimately, the choice between mastopexy vs mastopexy w/ implant is yours and should be based on your goals.

Leila Kasrai, MD, FRCSC · Answer

There are several options that can help improve the appearance of your breasts, but your surgeon would need to understand what “look good” means to you.

Emre Guvercin, MD, FEBOPRAS · Answer

Based on your description and what is typically seen in cases like yours, a Push-Up Breast Lift alone is sufficient to restore shape, position, and overall aesthetics.Implants are not necessary to achieve a good, natural-looking result in this situation.What’s actually causing the issueIn most patients asking this question, the problem is not lack of volume, but:Descent of the breast tissueLoss of upper-pole supportSkin laxityFlattened or bottom-heavy shapeThis is a positional and structural issue, not a size issue.Why a Push-Up Lift worksA Push-Up Lift is different from a classic lift because it:Repositions your own breast tissue upwardRestores upper-pole fullness using native tissueImproves cleavage and projection without implantsRemoves excess skin strategically (not aggressively)Creates a more three-dimensional, youthful contourThe breast ends up looking:More liftedBetter shapedFuller on topStill natural and proportional to your bodyWhy implants are unnecessary hereImplants:Do not fix tissue descentAdd weight, which can worsen sagging over timeAre often used when surgeons try to compensate for poor tissue repositioningIf your goal is to “look good again” rather than “look bigger,” implants would be overtreatment.What kind of scars to expectScars depend on how much skin needs to be removed, but with a Push-Up Lift:The goal is minimal, well-placed scarsShape improvement is prioritized over aggressive tighteningLong-term breast aesthetics are more stable*** Bottom line✔ Your concern is about shape and position, not size✔ A Push-Up Breast Lift alone can restore a youthful, attractive look✔ Implants are not required to achieve fullness or projection here✔ Using your own tissue gives the most natural, long-lasting result

Daniel Barrett, MD · Answer

Dear Lydia2117809,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

An in office evaluation is needed to answer. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements.  They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what  is right for them.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ira H. Rex III, MD · Answer

From your photograph, it seems you would get a very nice result from a breast lift.  This would reposition your nipples for a more youthful-looking breast.  Many woman like this so they do not have to wear a bra.  You have quite a bit of lateral less and it may be appropriate to remove some of this tissue to form a more rounded breast.  Also, liposuction of the armpit area and probably lateral chest wall would be part of your operation.  Depending on your expectations, you may consider putting in a small implant for upper pole fullness, but this certainly would be a personal decision you could make with your plastic surgeon.  Make sure you find a plastic surgeon who specializes in breast surgery and is board certified in plastic surgery.

What are the best options to make my boobs look good again? (Photo)

Answers (19)

More Breast Augmentation Questions

Changing Planes to Restore Sensation - Would this Help Sensation to Return?

Do I need an Internal Bra with Motiva Preserve Technique?

Capsular Contracture - How can I detect it early?

Itching around stem of implant (20 years post) - could this signal a leak? (Photo)

Breast Augmentation Scars Lumpy A Year and A Half Post Surgery - can this be improved? (Photo)

Wanting more volume at the top - what size should I go with? (Photos)

WE SEND PRETTY
EMAILS