Would a lift be the answer, or tightening of back muscles to bring them up?

I'm small, thin, 114 pounds. My back is narrow and not fat and I'm guessing little muscle. Breast are 34B w/slight sag. I believe it's more muscle issue as I've never been able to wear strapless garments or bras. Would a lift be the answer, or tightening of back muscles to bring them up?

Doctor Answers 11

Lipo-lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

 

Best of luck!

   

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Would a Lift Be Better

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.

 Implants without a lift is usually a mistake. Most breasts will look larger and droopier. They will sag more and sooner because of the excess weight.  The shape will usually not be satisfactory. There will sometimes be a “Snoopy” breast or double bubble.

If the nipples are in a fairly high position on the breast or “glandular” ptosis or drooping, an implant may be useful.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Would a lift be the answer, or tightening of back muscles to bring them up?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If your breasts are drooping or sagging, a breast lift is probably reasonable.  Doing something with your back would not meaningfully improve the breasts.

Breast lift versus muslce tightening

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question.  The best thing to do is consult with a board certified plastic surgeon to be sure your concerns are addressed properly and to your satisfaction.  If you are speaking about upper back skin rolls, procedures such as ultrasound or laser-assisted liposuction may help.  Muscle tightening or skin excision is generally not recommended in this situation due to the need to create large scars.  In addition, muscle tightening would not improve breast shape to position.  You may be a candidate for a breast lift depending on you ultimate goals.  There are often many options available, which is why an in-person evaluation is so important.  Good luck!

Brian A. Pinsky, MD
Long Island Plastic Surgeon
5.0 out of 5 stars 6 reviews

Would a lift be the answer, or tightening of back muscles to bring them up?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You will find that strengthening of your back muscles will not be helpful when it comes to lifting your breasts.   Given your concerns, you will be best off seeking consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully as well. Working together you will come up with a good plan. Best wishes.

Breast lift and muscle tightening

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Your breasts are skin appendages that are formed from tissue that are different from your muscles. If your breasts have drooped a breast lift will lift them up. Muscle tightening or build up will not affect your breasts in any way. Good luck!

Morad Tavallali, MD, FACS
Vienna Plastic Surgeon
4.7 out of 5 stars 30 reviews

Lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If you need a lift you need a lift.  The muscles have nothing to do with it.  Best of luck with your decision to move forward. 

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for reaching out.  It is hard to tell from your description.  You should seek out a board certified plastic surgeon for an exam and for proper planning.


I hope this helps :)

John Paul Tutela, MD
Livingston Plastic Surgeon
5.0 out of 5 stars 51 reviews

Breast lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. That would determine if implants alone will give you enough lift and/or if you also need some type of breast lift. Tightening your back muscles would not lift your breasts.

Breast evaluation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  If you are an appropriate candidate, a breast lift can be designed to result in an improved shape and contour of your breasts while minimizing scar appearance  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.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 172 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.