Implants without going much larger? (Photo)

Question

I currently have a d cup and my boobs are getting a bit saggy and flat. Is it possible to use implants to add youthful perkiness without going up much in size? I don’t really want a lift if possible.

Semih Yildiz, MD, FEBOPRAS · Answer

I could not clearly review the attached photo, so this answer is based on your description. Implants can add upper-pole fullness and a slightly fuller, perkier look, but they do not truly lift the nipple or remove loose skin. If the main issue is sagging rather than loss of volume, an implant alone can sometimes make the breast larger without correcting the droop.

If you already wear a D cup and do not want to go much bigger, the key decision is whether your nipple position and skin envelope can support a small implant without creating a heavy or low look. When the nipple is low or the lower breast skin is stretched, a lift is usually the procedure that restores shape while keeping size controlled. An in-person exam is needed to judge that accurately.

Brian K. Reedy, MD · Answer

Thanks for your question!
Implants will help to add fullness. You may need a lift as well.  Schedule a consultation with a board  certified plastic surgeon to discuss your options. Best wishes!

Mario J. Samaha, MD · Answer

Hello,
Thank you for your question. It is possible, however it will depend on how much ptosis (or saggyness) you have, the amount of skin, and the look you want. It is best to schedule an appointment for a consultation where your plastic surgeon can examine you, listen to what you wish for and come up with a plan that best works for you. Make sure to ask all your questions during your consultation!

James Lee, MD · Answer

Thank you for submitting your question. There is a large selection of implant projections/profiles that fit each individual, therefore you can select a smaller implant projection if you desire only a small increase in volume. Implants come if various different projections so that each patient's aesthetic goals can be met. The higher the projection of the implant, there more volume would be added to your breasts. Be sure to consult with a board-certified Plastic Surgeon for your consultation. During your consultation process, the PS will take measurements of your breasts and be able to inform you of the different projections of implants and the corresponding number of CCs of each. Hope this helps.

Leila Kasrai, MD, FRCSC · Answer

It depends on the extent of sagging. Mild and moderate sagging can be corrected with implants alone, however a lift would be required for more severe sagging. Your surgeon can let you know what the most suitable option would be during an assessment.

Daniel Barrett, MD · Answer

Dear Halloweenminus10,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Irvin M. Wiesman, MD, FACS · Answer

Implants typically only rotate the breast up minimally and they are used mostly to enlarge the breasts. If your skin and breast tissue is becoming loose I would recommend a breast lift.

Camille Cash, MD · Answer

If your breasts are sagging and flat chances are a lift will be recommended.  If you have sufficient tissue you might consider auto augmentation instead of an implant.  This uses your body's own tissue to provide upper pole fullness.  I've included a video that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

Implants will not lift sagging breasts, but just give you larger and more sagging breasts. It sounds like you need a lift. The smallest implant made will increase you up to another cup in size unless you are a small D.

Implants without going much larger? (Photo)

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