Breast augmentation, implants or lift - Which procedure would help me correct sagging? 22 y/o

Question

Hi, I am only 22 years old but feel like I am on the saggier side of things.. I want to know if it would be appropriate to seek a lift or augmentation or what you would recommend.

Sergei Kalsow, MD · Answer

I think in your case, you are 22, the scars from a lift would not be worth it.  I would put implants to give more volume, at least at first.   I would also maybe not do anything, I do not think it is pressing to do in your case, only if they really bother you.

Derek Fletcher, MD · Answer

If you are otherwise happy with your breast size, a breast lift is the operation that you need. A detailed history and exam are necessary to determine which breast lift technique is best suited for your body and help predict how long your breast lift results will last.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. It appears that you would most benefit from a combination of implant placement to add overall volume to your breast, in addition to a full breast lift +/- mesh. Seek out a series of in-person consultations to get the best advice.

Michael Dobryansky, MD, FACS · Answer

You appear to have breast ptosis. This can be corrected with a breast lift. If you also want your breasts to be larger, using an implant can be considered. The degree of ptosis that you have, especially in your left breast is such that it will not be correctable with implants only.

Daniel Barrett, MD · Answer

Dear ashley20122,
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

Robert M. Wald, Jr., MD · Answer

You have breast ptosis, grade 2. This means that your nipple/areola and breast tissue is below the crease of your breasts. This requires a breast lift and full anchor type mastopexy. Implants with a lift will give more upper pole fullness than a lift alone. I would definitely suggest a breast lift and implants if upper pole fullness is important to you.

Adolfo Sesto, MD · Answer

Hello. Of course you need a Breast Lift since your Nipple-Areolar needs to be relocated upper towards your clavicle. I always recommend young patients like you, to undergo this procedure with implants to avoid your breast to fall again. To have implants does not mean to have an augmentation.

You may choose to have a Breast Lift with or without implants.

You may choose to have a Breast Lift with or without implants.

Robert Oliver Jr., MD · Answer

You have both volume asymmetry and some early ptosis. I would suggest a mastopexy (lift) only at this point and kick the implant question down the road.

You have a nice "platform" to work with and I'd expect a good result just with a lift

Peter Andolina, DO · Answer

After looking at your photos, I think that you would benefit from a breast lift. If your major concern is the sagging of your breasts, a lift would take care of that. Augmenting the breasts will only lift the breast slightly and make your breasts larger. Now if you want to enlarge the size of your breasts and address the sagging, a combination augmentation/mastopexy (lift) may be what you need.

Kenneth R. Francis, MD, FACS · Answer

Hi Ashley,
If anything, you do need a breast lift.  The breast lift technique used, vertical or anchor, would be a choice between you and your surgeon based on the advantages and disadvantages of each.  Adding a breast implant, or fat transfer (if you have any fat) would help to fill the upper breast poles.  Think carefully though.  If you are possibly going to have children, a breast lift may affect your breast feeding ability.  Also, after pregnancy it is likely that your breasts will need to be lifted again.  Good luck!

Breast augmentation, implants or lift - Which procedure would help me correct sagging? 22 y/o

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