Will a breast lift on 32DDD/G breasts hold up over time?

Question

I want a lift, but I want to make sure my breasts don't just go back to their original position over time. Do I need to get a reduction at my size as well? If so, what cup size do you recommend I reduce them to in order to get long term results on the lift?

Emre Guvercin, MD, FEBOPRAS · Answer

This is an important question, and you’re right to think long-term.Will a lift alone hold up at a 32DDD/G?Usually, no.At a DDD/G size, the weight of the breast itself is the main reason lifts tend to relax over time. Even a well-done lift that relies mainly on skin tightening can:Look great earlyThen gradually descend again due to gravity and tissue weightSo the issue isn’t whether a lift can be done &mdash; it’s durability.Do you need a reduction for long-term results?In most cases, yes &mdash; a modest reduction is strongly recommended if your goal is a lift that truly lasts.This doesn’t mean a dramatic size change. It means:Removing just enough lower-pole tissue to reduce weightImproving internal supportAllowing the lifted position to be maintained over timeWhat size holds up best?For long-term stability, most patients starting at 32DDD/G do best when reduced to around:Full C or small D cupThis size range:Still looks full and feminineIs much lighterResponds far better to internal supportHas a significantly lower risk of recurrent saggingWhat technique matters mostA Push-Up Lift (supportive mastopexy) combined with a conservative reduction:Rebuilds internal support (not just skin tightening)Redistributes your own tissue upwardReduces the gravitational loadProduces the most stable, long-lasting liftWithout reducing weight, even the best lift will eventually fight gravity.

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to sit down with you and discuss your goals. Having a lift/reduction would be discussed in your consultation.  Schedule a Consultation with a Board Certified Surgeon.

Kevin Brenner, MD, FACS · Answer

Most likely not. Do they hold up now? DDD/G cup size on a 32 inch torso seems disproportionately large. In all liklihood, you may NOT even be able to do a full breast lift WITHOUT reducing some of your tissue, without causing problems. If you have further questions, my office staff (in Beverly Hills 310-777-5400)  is happy to help you as we see patients from all over the country.

Bianca Knoll, MD · Answer

thank you for your question. Whenever breast tissue is heavy, or support is needed for various reasoen an internal bra might be a good option when undergoing a breast lift. The internal bra can be either created using your own tissue, or a mesh-like material. This way the breast tissue receives addtional support. Internal bra techniques can be quiet useful, but are not needed in all cases.  I hope this helps.

Paul M. Steinwald, MD · Answer

Many considerations here, but the short answer is your breasts will always continue to age, but if you are quite large and are taken down to a C/D-range (yes, would recommend some degree of reduction - generally necessary anyway), you should never be anywhere close to where you area again (unless severe weight changes - and/or pregnancies - over time occur). Generally, (younger) age, post-operative support, ongoing fitness and good quality of skin (plus excellent surgical technique, and again, the size you are left with - smaller generally better) all should help you maintain your desired results. It is also quite possible to re-reduce/lift again in the future (many years down the road . . . )

Ira H. Rex III, MD · Answer

This question cannot be answered without a good exam and photographs would help.  A small or moderate reduction is often needed for appropriate contouring of the breast.  This may involve removal of some tissue to help prevent early re-drooping.  You should consider going to a board certified plastic surgeon to at least talk about different approaches and expectations.  A breast lift rarely re-droops to anything close to its original shape.

Jonathan Heistein, MD · Answer

Yes, a breast lift will hold up over time, but if you go a little smaller at the time of your lift (with some reduction), then this will hold up longer.  The heavier the breasts, the more that gravity takes its toll and causes the skin to sag.  So if you have less heaviness, then the results should last a long time.  Another potential item that can help the longevity is to use Galaflex or Durasorb at the time of the lift.  This will help support the weight of the breasts and thus require less stress on the skin.  Talk to your surgeon about this during your consultation.  Best of luck!

Joel Patrick Maier, MD · Answer

Yes, a breast lift will hold up over time. Actually, a good breast lift is a breast reduction. The key is to remove the lower aspect of the breast (the tissue you do NOT want), and forming a new breast mound with the upper breast tissue (the tissue that you DO want) scooting the nipple higher to a location higher on the new formed breast mound. I would not hesitate to proceed. Thank you.

Eric Swanson, MD · Answer

The most important consideration is the type of lift. The vertical lift is best. It is more effective and has less scarring than the anchor scar technique (or the donut method). An effective lift always removes breast tissue as well. If breast tissue is not removed from the lower pole, the results will not hold up. So you will drop a bit in size, but you have plenty so hopefully that will be OK. A DD should be possible. Also be aware that gravity continues so even with the best surgery, your breasts will gradually sag over time.

Gary M. Horndeski, MD · Answer

The breast lift technique that 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. The weight of the breasts is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The breasts can be reduced to the size you desire.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Will a breast lift on 32DDD/G breasts hold up over time?

Answers (14)

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