Saggy deflated breasts fixed without lift. Concerned I will not have a good result. (Photo)

Thank you for your question and photo.  A breast lift with implants would give you the best result.  The shape of the breast will trump the scars.  Scars will fade and become less noticeable over time.   Please consult with a board certified plastic surgeon to fully discuss your questions.  Best wishes.

The implant size seems too large and will not give you good shape. Whether or not a mastopexy is done, the prime consideration is breast shape and that large an implant will put you at risk for poor shape.

A woman who’s had a pregnancy. Maybe her breasts has become either just deflated, or
the skin has been stretched from pregnancy, and or breastfeeding. And now is in
a lower position than she would like. So by doing the breast lift, we can
tighten the breast.This will provide the best shape.

550 cc implants weigh over 1 lb each, will displace
inferiorly and laterally requiring revision.If your breasts are hanging low now, the additional weight will make them
hang even further.Implants alone will
not be successful.Instead, I recommend
a new technique called The Ultimate Breast Lift™.The breast tissue is reshaped creating upper
pole fullness, elevated higher on the chest wall and more medial to increase
your cleavage.This technique avoids the
ugly vertical scars of the traditional technique, maintains nipple sensation
and the ability to breast feed.Implants
can be placed at the same time if desired.I always recommend small round textured silicone gel implants placed
retro-pectoral since they look and feel more natural, are more stable and less
likely to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.Unfortunately, you have not told us your bra
size but if you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size
change.If you are 36 or 38 each 200
cc’s of implant corresponds to 1 cup size change.From this, you can compute the volume
required to achieve your desired goal.Best Wishes,Gary Horndeski, M.D.

It is always difficult to make recommendations from photographs.Barring a full examination, it seems plain that you need a mastopexy. A breast augmentation without correcting your droop is not a viable option. With your mastopexy, either saline or silicone gel implants would serve you well. You are considering quite large implants and it is important to understand that this will promote early sagging and a  possible need for a secondary mastopexy.A comprehensive consultation with a plastic surgeon, board-certified in plastic surgery, would allow you to understand the range of possibilities available for you.

Although a subglandular position of a large implant may give an acceptable result, it will not lift your breasts, so they would be larger, but still not be perky. I think you would be better served with a lift at the time of your implants, and consider smaller implants. You have substantial amount of breast tissue, so with a large implant they will tend to fall with time.

Thank you for your pictures. You will not have the best result if you had breast on vacation only. In order to achieve the best possible breast size and shape a press list in addition to implants will be necessary. The trade-off for better breasts will be incisions on your breasts.

Your choice of 550 cc implants is quite large.  This can result in your nipple being located in the lower pole of the breast, with the bulk of the implant above your nipple location.  I would recommend a smaller augmentation without a lift.  Otherwise, perform the larger augmentation and plan for a possible lift to reposition the areola/nipple in the future if necessary. 

Hi There and thank you for asking a great question!  I am afraid you will not have the results you are looking for if you do not have a breast lift with augmentation.  With implant alone, your nipples will be in nearly the same position, so your breasts will still look saggy, however, just a little fuller (because of the implant).   Some people heal well and your scars may not be too terrible.  Some people's scars actually fade in color years down the line, so you need to ask yourself what the trade off is.  Scars for larger non-saggy breasts? or Larger breasts that still sag?  It's completely up to you but as you can see by the majority of the surgeons here, you will need a lift as well.  Please consult with a board certified plastic surgeon who specializes in breast lifts and augmentation!  I wish you the best of Luck! :)

In a nut shell, if your nipple areolas are sitting low on the breast, they will appear even lower after an implant.  I would suggest you talk to your doctor about the benefits of a lift.  Placing a large implant in a sagging breast can often times make one problem, worse.  That same sagging skin that cannot hold up your breast is likely going to sag more with a large implant.  Something to think about.