Sagging Breasts After Breastfeeding, Can Implants Make an Improvement? (photo)

I have breastfed 4 children and am left with sagging breasts. I would like implants but not to keen on a lift. my nipples are 3cm above my crease and 20cm below my collarbone. I liked the full look I had when breastfeeding and would be happy with that. Is a lift absolutely necessary?

Doctor Answers 21

Mild Breast Sag And Breast Augmentation

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Pregnancy and breast feeding can have a dramatic impact upon the size and shape of a woman's breasts. It's not unusual for women to lose breast volume and develop breast sag following these events.

Your pictures suggest breast hypoplasia in the presence of mild breast sag. Under these circumstances, excellent results can usually be obtained by performing a duel plane breast augmentation.

If you're considering breast augmentation surgery, it's important to consult a board certified plastic surgeon who can perform a physical examination. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Lift and implants for fullness

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Your breasts appear to be significantly saggy, as a result a breast lift and implants would probably be the best option for you especially since you want that full look that you had while breastfeeding. Implants alone wouldn't give you that fullness.

Breast augmentation without a breast lift

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While  your breasts are moderately sagging you may be able to get away with implants alone. The best breast implants to use should have a more cohesive texture, such as the Allergan Inspira Truform 2. These implants are slightly firmer but still feel natural. Also, choose something with a more narrow base width to increase projection. 

You may not need a breast lift, however to determine this you would need a consultation with a surgeon who has experience with performing breast augmentation on breasts affected by mild to moderate sagging. Best of luck!

Lift is NOT absolutely necessary

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Hello Kezuk, thanks for your question!  Based on your description of your breasts and your photos, I think breast implants alone will give you a great, natural look. It sounds like you're looking for a natural look without breast lift scars, so I think implants alone would be the best option for you. Of course, you need to meet with at least one board certified plastic surgeon who will examine you and discuss your situation in detail with you. Then, the two of you can make a plan for you!  I hope that helps and wish you the best!

Sagging Breasts After Breastfeeding

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If a lift is not consistent with your objectives and you understand the potential drawbacks, you may be able to proceed with just the augmentation. Consult in person with 3 - 4 experienced and expert board certified plastic surgeons to explore your options.

Breast Lifting Necessary?

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Thank you for the question.

At first glance it may appear that breast augmentation alone will suffice. However, I think you may have significant loose/redundant skin along the lower poles of the breasts and will likely benefit from some breast lifting surgery.

I would suggest that you pick your plastic surgeon carefully and choose the operation that will give you the best long-term result.

Best wishes.

Implants could work

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From the description and measurements you provided, it seems like all you would need would be implants. A plastic surgeon would be able to make a precise determination during a cosnultation.

Sagging breast

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You should be good with an implant alone as long as the nipples are above the inframammary fold.  If you are unhappy with the outcome, you could always do a secondary lift if needed.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Breast augmentation for correcting sagging breasts after breast feeding

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Many women experience the same problem. Their breasts sag and deflate after breast feeding. Sagging can be a result of simple breast tissue atrophy or a combination of breast atrophy and having stretched out skin that fall off your body. In your case, it appears that your breast sag is simply a result of breast tissue atrophy. You can restore your youthful breast appearance by replacing the lost volume through either a breast augmentation of fat grafting to the breast. These procedures will lift you breast and place your nipple in a more natural position. In some women, the skin is also stretched out from the heavy weight of the breasts when it was engorged during breast feeding. In these women, a mastopexy augmentation would be the procedure of choice.

Perry Liu, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 4 reviews

Breast augmentation alone will correct mild sagging.

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1)  I don't know why there is so much uncertainty.  You are straightforward.  You do not need a lift and in fact would probably look worse with a lift (aside from the scars). 

2)  A moderate sized breast augmentation will get you what you want (and now we are doing an internal --scarless -- breast lift together with the implants).

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.