What Do You Recommend to Gain Fullness in my Breasts?

Hi!

I wish I have more photos for reviewing purposes. In fact it is even  not possible to judge the need for a lift or implant alone from trust the views. We need to examine and see where the nipple sits in relation to the crease under the breast.

Implants provide volume only.  Their capacity to lift the breast is limited but they provide volume, fill, and "perkiness" in the sense of forward projection. A lift procedure will not increase the volume, fill in, or give perkiness although it will position the breast higher on the chest which makes it look larger. 



In general I prefer doing an augmentation with an implant and a lift at the same time.  

Best

I would recommend breast augmentation with saline or silicone gel (preferably silicone gel) using a dual-plane technique.  In early degrees of breast ptosis (or sagginess) which it seems you have from the photo, this technique of placing the implant utilizing a "dual plane" pocket will provide some "internal lift" or lift effect to the breast without adding appreciable scars.  The only incision you would have would be about the width of a quarter in the IMF (inframammary crease) area under the breast.  This would give you back the fullness and give you the most one can get with just implants.  If after gaining breast volume and some lift effect you still want a more uplifted appearance or you desire  the position of the nipple to be higher,  you may decide to add a full mastopexy (lift) which is something that could always be added later if you decide you think you need it.  I hope this helps! 

 

Sincerely,

James F. Boynton, M.D., F.A.C.S.

Based on your pictures, I would recommend a submuscular silicone breast implant and a traditional lollipop-type breast lift.  I see too many patients in my office who have had periareolar lifts which misshape the breast and have stretched scarring.  With more pictures or an in-person consult, we could likely give you more individualized advice.  Good luck.

You need both a breast lift and a small augmentation. Based on the footprint of your breast, I don't think a large implant would look good on you. I would favor a vertical breast lift with a very small amount of reduction on both sides (right more than left), and a small sub-muscular implant. You don't need a big lift, just enough to get the nipple centered over the implant foot print.

If you just go with implants, you may still be left with sagginess to your breasts.  The scarring for your lift will most likely go around the areolae and straight down, aka vertical mastopexy.  Since you don't want to be too big, both procedures may be able to be done simultaneously...it's difficult to tell you exactly yes or no without examining you.  Also, since you have a history of hypertrophic scarring, you'll need to keep this in mind after any further procedures and understand that this is a risk you'll be taking (ie getting more hypertrophic scars.)

A lift with a small implant will achieve a better overall profile and shape. However, the tradeoff will be the scars and the likelihood of recurrent sagging with weight gain/loss, pregnancy, aging, and hormonal changes.

There are usually two issues with breasts that look like they have aged – skin excess (which manifests itself as breast droop) and a loss of fullness in the upper breasts. Both need to be considered for optimal breast aesthetics.

In order to regain fullness of the upper breast, an implant will be necessary. Implants will serve to increase the volume of the breast and also create more of a perky look. That may well be the only procedure needed, provided there is minimal droopiness to the breast.

However, if there is sagging, without correcting the droop (i.e. the position of the nipple & areola); breasts can still look old even with their newfound volume. A lift procedure can correct the droop by positioning the breast higher on the chest, which will help to increase the full appearance.

In a consultation I can immediately determine whether or not a lift is needed and just how much of a lift is necessary. I can also determine what incisions would be needed.

All things considered, when the nipples have dropped to a level close to the fold, you should count on a lift being a very strong possibility in order to achieve the best results. Book a consult with a reputable surgeon experienced in breast augmentation and then go from there.

Based upon the single photo, you may be a candidate for implants and a periareola lift which would limit the scars to just the border of the areola.  But a full exam would be necessary to determine this.

There can be doubts between a breast lift with implants, and a go with implants alone. Your nipple is certainly above the fold, and at the 'mid-humeral' line, the middle of your upper arm. Looking at the 'ideal' an implant with a small elevation of the nipple (breast lift) could look best, but at what cost. I would recommend you start with a breast implant to increase volume to a C-cup, not too big. This should have a lift effect on the nipple and greatly improve the breast shape. You can always consider a small lift later, though I think you will fair better without the scar.

Best of luck,

peterejohnsonmd

Thanks for the photo. I recommendation is a full lift with small implant like a 250 cc HP. But you will have scars by your own admission. Best of luck from MIAMI Dr. Darryl j. Blinski