Would I be a candidate for breast augmentation without a lift? 1 year post pregnancy (photos)

Question

I want to know if I can do a breast augmentation without a lift. I had a baby a year ago and my breast have some sagging. I Also if a lift is required, is it possible to hash’s the donut incision instead of the lollipop incision?

Albert Ko, MD · Answer

Hi there,Yes I think an implant would give you the volume that you are lacking post-pregnancy. As long as you are aware that your areola placement wont change. if you want a lift, I do think you would need a lolipop or anchor incision. I would reccomend a consult with a board certified plastic surgeon to go over your expectations before making a decision.

Gianfranco Frojo, MD · Answer

Based on the photos provided, it seems that you must absolutely perform a lift to get the adequate shape/volume, nipple position, and restoring the breast amount.

Morad Askari, MD, MBA · Answer

Thank you for your question. Yes, it is possible to do a breast augmentation without a lift, but the decision varies based on your implant size preferences and desired outcome. It is important to note that if you are currently breastfeeding, it is recommended that you wait at least six months after weaning before undergoing surgery. Donut or lollipop lifts can be done depending on your goals and implant sizes.

Tania Najar, MD · Answer

Doing a breast augmentation without a lift could be a possibility, it would depend on an in person consultation to truly see if you're a candidate or not to avoid the list.

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 medal to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Caner Kacmaz, MD · Answer

Thank you for your pictures. Unfortunately, it’s not possible to achieve satisfactory results without an uplift. I recommend you breast uplift and implant surgery. Ideal incision would be anchor type for these kinds of surgeries. Best wishes.

James M. Economides, MD, FACS · Answer

The sagging you're experiencing is very common following pregnancy. From your photos, the two main issues you can see are deflated upper poles and sagging (or ptosis) of the nipples. This is a very common scenario in my practice. To answer your question, you must first consider your goals. Are you primarily looking to increase size, improve perkiness, or both? Generally speaking, an augmentation with a larger implant will not only fill the upper poles but also "lift" the breast as well. A smaller implant would not achieve as much of a lift. These are the parameters you must consider when discussing with your surgeon. As always, it is best to consult with a board certified plastic surgeon who regularly performs breast enhancement.

Brian K. Reedy, MD · Answer

Thanks for your question! Your nipple-areola complex is below your inframammary fold. In other terms, your breasts are droopy, and I would strongly advise a vertical or periareolar lift in conjunction with an implant. Best of luck!

Christopher Pannucci, MD, MS · Answer

Hi Loving96482,
Thank you for including the photos, they make the discussion much easier. From the front, it appears that your nipple is descending toward the lowest portion of the breast, commonly referred to as ptosis. Based on this side view, your nipples have grade 2 ptosis, meaning that they are not forward facing, but not facing all the way up to the floor, but in between.
At present, an augmentation alone may not get you ideal results. This is because the implant would sit higher on the chest wall and the current breast skin envelope. This runs the risk of creating a vertical oval appearance to the breast, with the nipple falling off the end.
A lift would do 3 things. First, it would gain control the skin envelope by tightening it, second with move the nipple vertically upward, and third it would allow the breast tissue to actively be repositioned into a higher position. Adding an implant underneath that would produce a wonderful breast shape.
I would suggest meeting with a qualified plastic surgeon to discuss her best options, including the incision pattern.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Daniel Barrett, MD · Answer

Dear Loving96482,
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

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