What breast lift options are available for women with large breasts?

Question

Hello, I am 5'6 and approximately 170 pounds. My bra size is 32 I or 34 H. I am happy with my size and would not want to get a reduction. Would it be possible at my bra size to have a lift in the future? What type of options are available for large breast lifts? Thank you in advance!

Gary M. Horndeski, MD · Answer

Thank you for you question,              The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Urmen Desai, MD, MPH, FACS · Answer

I recommend a breast lift with implant.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Kenneth Hughes, MD · Answer

There are many methods to a breast lift, an in person consultation would provide better details I recommend you see a board certified PS.

Gerald Minniti, MD, FACS · Answer

Hello,A large and heavy breast does not take well to a breast lift, which essentially relies on skin to hold up the tissue. Skin expands and will allow the tissue to just drop out again, sometimes in months. Your breasts will need to be reduced, which will have an overall slimming affect, and not be disproportionate. Go visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

Anita Patel, MD, FACS · Answer

Yes, a breast lift is possible for patients with large breasts. An in person exam would be needed to determine the best technique, but guessing based on your bra size you would need a full mastopexy that involves Wise pattern skin markings ("anchor" type incision). When the breasts are very large, a small reduction along the outer or lowest portion of the breast may be required for optimal shape. It's really hard to give specific advice without any other information or photo. An in person exam would be the best way to get accurate advice that applies to you specifically. One other thing to note, if you have fullness off to the side of your chest, many patients opt to have liposuction here so that this area does not look too full once the weight of the breasts is no longer pulling on and flattening that area.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your description, a vertical or wise pattern breast lift may be able to help you accomplish your goals.   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

Daniel Barrett, MD · Answer

Dear jessicapd,in case of a significant level of ptosis an anchor lift and a lollipop is an option. I prefer performing a lollipop lift specifically for your situation to avoid the boxy look and excess scars.  Not everyone can perform a lollipop or vertical breast lift so its good you are doing your research. You should visit a board certified plastic surgeon for a detailed examination and consultationDaniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Jaime S. Schwartz, MD, FACS · Answer

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 and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.
  
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

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Unfortunately, without pictures, it is very difficult to give you a proper answer. l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Edmund Ek, MBBS, FRACS (Plast) · Answer

A breast lift is certainly an option for you in the future, based on the size of your breasts. However, the weight of such large breasts could interfere with long-lasting, positive results from a lift alone. Once the breasts begin to sag, you may want to consider a reduction procedure with the lift to produce beautiful, natural results. If you need additional upper pole fullness at that time, a small implant could be placed to provide the cleavage you want without compromising the results of your life procedure. Be sure you choose an experienced, qualified breast surgeon for your procedure that will be able to advise you personally of the approach that will give you the best possible results.
- Edmund Ek, MBBS

What breast lift options are available for women with large breasts?

Answers (18)

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