Will breast implants give upper pole fullness loss from pregnancy and give me a minor nipple lift? (Photo)

Question

So I had 2 babies loss of upper pole fullness already had a consultation. My breast measure in a 34D/34DD so my boobs are already quite big he also mentioned I had good amount of breast tissue and his recommendation was 275cc low profile .. would this give me a more fullness look to my breast or should I go bigger .. as well as he said I dident need a breast lift ? So would the implants raise up my nipple .

Alan Gonzalez, MD, FACS · Answer

Hello @Dazzling7050 thank you for your question and showing your pictures. I suggest you have a lift because just getting a bigger implant won't solve that the nipple is already looking downwards. For the most adequate aesthetic result what we want is to raise it and rearrange it, to put it in its place, so that the projection of the breast from the anterior axillary line to the external midline is balanced and that the position of the areola and the nipple in most cases is as central as possible. If you want to keep the volume you have then a combine surgery: breast augmentation and lift would be the way to go. I hope this shed some light. Best wishes!!!

Donald R. Revis Jr, MD · Answer

Good morning,
An augmentation alone will improve your upper pole fullness and lift your nipple position a little, but I would consider a donut mastopexy as well!

Leila Kasrai, MD, FRCSC · Answer

For mild to moderate sagging, implants alone may be sufficient. A side view would be helpful to determine where your nipples are located in relation to your breast fold. If they are at or below your breast fold, then a breast lift would be more suitable to give you upper pole fullness.

Richard G. Schwartz, MD · Answer

Based on your photos and history, I think you have 2 options, and the choice depends on what exactly you would like to see.  If you don't mind being larger, than placement of a breast implant by itself should raise your nipples a little (but they would still be somewhat low), and add upper pole fullness.  The implant size will determine how much fullness and how much nipple elevation.  If you really don't want to be larger, just have a lift improved shape, then I recommend a plus/minus augmentation/lift, in which a breast lift is done along with removal of some of your own breast tissue, which is then replaced with a similar sized breast implant.  This corrects any sagging, lifts the nipples nicely, adds upper pole fullness, and leaves you the same size.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Unfortunately based on the limited views supplied it is difficult to offer definite advice, but it appears that you would most benefit from implant placement and a lift. The implant will help restore lost breast tissue after pregnancy and weight loss, while the lift will remove excess skin and allow for resizing and repositioning of your nipple into a higher, more youthful, position. Hope this helps

Gary M. Horndeski, MD · Answer

If your breasts are already 34 DD then you do not need more volume but a lift. The technique I recommend is a lift using The Bellesoma Method. This will 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 (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Farbod Esmailian, MD · Answer

Judging by your photos, I would say you would benefit from a lift. An implant alone will not raise your nipple/areola upwards. An implant will give you some additional volume and perhaps some more volume in the upper pole, but you will have a breast that is still on the lower side and more bottom fullness.

I would recommend you see a board certified plastic surgeon to discuss your options further.

Hope that helps.

I would recommend you see a board certified plastic surgeon to discuss your options further.

Hope that helps.

Daniel Barrett, MD · Answer

Dear Dazzling7050,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

James Knoetgen, III, MD · Answer

Breast implants can have various effects on the appearance of your breasts, but it's important to understand that their impact may vary from person to person, and the results can depend on several factors, including the type of implant, implant placement, and individual body characteristics. Here are some general considerations regarding your questions:

1.) Upper Pole Fullness: Breast implants can enhance upper pole fullness, creating a fuller and more rounded appearance in the upper part of the breast. However, over time and with certain factors like pregnancy, breastfeeding, or aging, the breast tissue and skin may stretch, which can potentially lead to changes in upper pole fullness. These changes may not be solely due to the implants but can be influenced by natural factors.

2.) Pregnancy: Pregnancy can significantly impact the appearance of your breasts. During pregnancy, hormonal changes and the enlargement of the mammary glands can cause breast enlargement. After pregnancy and breastfeeding, some women may experience changes such as sagging or loss of volume. While breast implants can provide volume and shape, they may not prevent these natural changes associated with pregnancy.

3.) Nipple Lift: Breast implants can provide some degree of lift to the breasts by adding volume and improving overall breast shape. However, if you have significant nipple ptosis (drooping) before getting implants, the implants alone may not provide enough lift to the nipples. In such cases, a separate nipple lift procedure (mastopexy) may be necessary to reposition the nipples higher on the breast mound.

It's essential to have realistic expectations about the results of breast augmentation and consult with a board-certified plastic surgeon who can assess your individual anatomy and discuss your goals. They can provide guidance on the type of implant, placement, and any additional procedures that may be needed to achieve your desired outcome.

Additionally, keep in mind that breast implants are not a permanent solution, and they may require replacement or adjustment over time. Pregnancy, weight fluctuations, and the natural aging process can all affect the appearance of your breasts.

Before making any decisions, it's crucial to have a thorough consultation with a qualified plastic surgeon to discuss your specific concerns, goals, and the potential outcomes of breast augmentation in your particular case.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

Garrett A. Wirth, MD, MS, FACS · Answer

A full consult would be necessary.  Breast implants are an excellent product for filling the upper poles of the breast.  You tissue quality, breast width etc. would help determine if that size implant is going to get you the results you want.  Implant "sizers" are available with many surgeons as well and that will help in you discussions and planning with your surgeon.  I recommend you work with a Board Certified Plastic Surgeon.

Will breast implants give upper pole fullness loss from pregnancy and give me a minor nipple lift? (Photo)

Answers (15)

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