Can you fix sagging breasts with just implants? I’m naturally only a 36B

Question

Can you fix sagging breasts with just implants and if so, can I stick with smaller implants or do I have to go bigger???? I’m naturally as 36B......

Leila Kasrai, MD, FRCSC · Answer

It is possible to fix sagging breasts with implants alone, however it depends on how saggy they are. Mild to moderate sagging can be corrected. That usually means if your nipples are level with your breast fold or higher, you may not need a lift. Photos of your situation would help to give you a better idea of whether your breasts would need a lift or not.

Gary M. Horndeski, MD · Answer

Unfortunately,
you have not provided photographs but sagging of the breasts cannot be
corrected by volume addition.  I
recommend is 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.  Best Wishes,Gary Horndeski, M.D.

Elisa A. Burgess, MD · Answer

In my practice, we sometimes see small deflated breasts after having children. If the nipples are above the fold and the skin is reasonable quality, then sometimes just an implant will suffice. Otherwise, if there is too much skin and the nipples hang low, then a mastopexy (or breast lift) will also have to be done. It is best to visit with a board certified plastic surgeon with years of experience.

James E. Chappell, MD · Answer

In general terms, breast implants do not do any significant lifting of the nipple areolar complex, although sometimes filling up breast that have become deflated over time can go a long way towards correcting perceived sagging.  I have definitely seen cases where I thought the patient would need a lift but after placing the implants there was enough correction to allow not doing the lift, or to allow a shorter scar technique (periareolar) and therefore minimize post-op scarring.  Best to ask your surgeon for before and after photos that most closely resemble your current look and goals.  Best of luck to you.

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.  It would help if you could attach photographs.  If your nipple sits below the inframammary fold, then you will need a lift.  Without a lift in addition to the implant, this will not have a natural
shape.  A breast lift with an implant can result in a very nice shape if
good technique is used.  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.   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

Jonathan S. Jacobs, MD, DMD · Answer

Thank you for your question. No photo was included, but breast ptosis (sagging) in its milder forms can sometimes be corrected with implants. As the ptosis progresses, it is necessary to change the nipple/areolar position to correct the problem. This can be done with or without an implant to increase size. I would recommend scheduling a consultation with a board-certified plastic surgeon so as to determine what option would offer you the results you are seeking. Best of luck.

Christine Blaine, MD, FACS · Answer

Hi there and thank you for your question! Breast implants provide additional volume, a Breast Lift addresses breast ptosis, sag, or droop. In some cases when a patient has some deflation of the breasts with very minimal ptosis and good skin quality an implant can provide for enough of a lift due to the additional volume. If the nipple-areolar complex (NAC) rests below the breast fold, a breast lift would be required. I encourage you to schedule an in person consultation and evaluation with a Board Certified Plastic Surgeon. At the time of your consultation your concerns, goals, and surgical options will be thoroughly reviewed and your candidacy can be best determined. I hope that this helps!

Adolfo Sesto, MD · Answer

Hi. Sorry you did not post any photos. Is difficult to say not knowing the degree of your breasts ptosis (fallen of the breast) if you need a lift and the implants. If the degree of ptosis is high you will need the lift also to get satisfactory results.International Member of the American Society of Plastic Surgeons
Member of the International Society of Aesthetic Plastic Surgery

Robert Singer, MD · Answer

Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. 
 
 Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. 
 
 Robert Singer, MD FACS
 
 La Jolla, California

Evan Sorokin, MD · Answer

Implants do not fix sagging to any significant degree.  While they inflate the tissue a bit when the breast really sags one needs a lift.  Best to meet with a board certified plastic surgeon for in person consultation and exam.  Good luck!

Can you fix sagging breasts with just implants? I’m naturally only a 36B

Answers (10)

More Breast Implants Questions

Will 370cc gummy bear get me the full C/small D cup? (Photo)

I am having a hard time choosing between 345cc and 365cc silicone high profile.

What are the SOFTEST breast implants available?

What is the equivalence in CC for saline vs silicone?

WE SEND PRETTY
EMAILS