My breasts look so deflated when I bend over. Which procedures would you recommend for a more flattering aesthetic? (Photos)

For patients who are concerned about deflation, breast lift surgery can often help to achieve a more youthful appearance. Sometimes, patients can benefit from both augmentation and lift depending on what they want to achieve. When considering breast surgery, it is important to have a consultation appointment with a board-certified plastic surgeon regarding which procedure is best for you. After an examination, it can be determined whether breast augmentation with implants or a breast lift can help you to meet your aesthetic goals. Good luck in your research!

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a  Breast Augmentation.

Hello,

Your breasts are large, asymmetric in size, and sagging. You would benefit from a breast lift and asymmetric reduction. In addition, depending on your aesthetic goals, you may also be a good candidate for a breast implant to provide optimization in breast shape and upper pole fullness. Go visit a few ABPS certified/ASAPS member surgeons that specialize in breast surgery. Best of luck!

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a breast lift if you are happy with your breast size.  If you desire a larger size, then opt for a breast lift with an implant.  This can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  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.
Harvard-trained plastic surgeon

Thank you for your question Ariel.The main reason for the deflation you experience when you bend over is because of the sagging/drooping of the breasts. Evening while standing, you will experience lack of volume in the upper pole of the breasts. Current research shows that the risk factors for sagging/ptosis include advancing age, history of significant weight loss (>50 pounds), higher BMI, large bra-cup size, pregnancy, and smoking. If you do not smoke, eat healthy, and maintain a normal BMI, then the risk of further sagging may decrease. The breast sagging does worsen with the number of pregnancies, but regardless, there are ways to correct your breasts and improve its aesthetics. I would urge you to seek a board-certified plastic surgeon to have an in-person consultation for an augmentation mastopexy which is a combination of a breast lift, and a breast augmentation. If I were to recommend one over another, I would say that a breast lift (mastopexy) is more important in your case. This will work to remove excess skin. re-position the nipple and breast tissue higher to provide firmer and youthful looking breasts. Hope this helps.

Judging from the photos, it does appear that you are a good candidate for a breast lift (mastopexy).  A breast lift will tighten up the skin and place your breast volume back to a higher location.  The volume per se will not change with a breast lift, although the breast do appear slightly smaller given that they are in a tighter envelope.A breast lift with a breast implant will obviously add more volume and give you more upper pole fullness.  It is best to visit with a board certified plastic surgeon for an accurate exam and a discussion of all your available options.Good luck.

Hello Dear, thank you so much for your photos and questions.

According with your pictures you would be an excellent candidate to a breast lift, this procedure is a surgical procedure to raise and improve the form of sagging breasts. Also you have to make an evaluation with a certified plastic surgeon.

Hope hear from you soon, best wishes!!

If you are satisfied with the volume of your breasts in a brassiere then I would avoid an implant.  Vertical mastopexy incorporating an auto implant technique redistributes the dependent tissue into the upper pole using the chest wall muscle or in our practice a biologic mesh (Strattice) to hold it in place.  Remarkable results can be achieved in the right patient.  Merely cutting out excess skin is usually disappointing.

In my opinion you would greatly benefit from a breast lift known as Mastopexy. A vertical breast lift will give you the fullness you want with minimal scarring and maximal support for a durable long lasting lift. 

Consult a board certified plastic surgeon 

Based on the photos and your description, the droopy appearance can be improved with a breast lift.  To improve the deflated appearance, you would also benefit from implants.  I recommend an in person consultation with a Board Certified plastic surgeon.