Tear Drop Implants and Sagging Breasts (photo)

Question

I have been weighing the options of breast implant shapes. The overall look that I’d like to achieve is a larger size (D cup size) that has a soft natural look, and I like the weight at the bottom that is achieved with the tear drop shape without too much fullness up top. I am 5’7 and 175 lbs and wear a 36 B bra. Currently my breast are lower and I’d say “on the verge” of sagging. Would the tear drop shape emphasize the sagging? What would be recommended to achieve this look?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation using a dual plane technique without need for a formal lift.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Gary M. Horndeski, MD · Answer

Your
breasts are sagging too far to undergo augmentation alone.  I recommend The Bellesoma Method to 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
and the ability to breast feed are maintained. 
At the same time or later, fat transfers can be performed if additional
volume is desired.Best Wishes,Gary Horndeski, M.D.

Larry Weinstein, MD · Answer

I think the single most important aspect of breast enhancement is to get the best cleavage possible. Going to a C cup usually needs about a 375cc augmentation from a true A cup. The size of the implant is not as important as the shape and projection of the implant. I have 100 different implants you can try on for sizing purposes in my Chester office. Also the Vectra 3 dimensional imaging system can help you understand what you might look like. Also seeing before and afters of real patients by the plastic surgeon you see is important. Good luck...

Richard Baxter, MD · Answer

Your photo shows some mild asymmetry with one nipple lower and more lateral, so a lift such as a Benelli procedure should be considered. If you have it on both sides then the choice of implant shape will depend more on the shape of the breast "footprint." If it is oval then a form-stable implant is the way to go, but if round then go with round implants. They will feel softer and more natural.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Based on your photographs it is unlikely that you will need a breast lift.  In my experience high-profile smooth implants or the new Mentor Xtra smooth silicone gel implants improve projection and a my choice to use in patients who have glandular ptosis or minimal sagging that does not require a lift.

Tear Drop Implants and Sagging Breasts (photo)

Answers (5)

More Breast Implants Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Breast Implants Questions

Could I have gone bigger? 6 days post-op 495cc extra full profile. (photos)

Is 5 weeks enough time to heal if I get breast implants before my wedding?

Is this possible lateral displacement? (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS