Hoping to achieve a natural result - should I consider a breast lift? (photos)

Question

I'm 47, bf 2 children. I wear 30DD (look smaller, but I need the small back, and smaller cup sizes don't fit). Nipples widely spaced. They only began to droop in the last 5 years, before that my breasts were very high, I didn't like them as they were still small but looked fake. I like a little sagging, I think its attractive. But, like the snoopy/waterfall sagging looks very unnatural so I don't want that. I want larger, natural looking 47 yo boobs. Will i need a lift?

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here! My answer is based on the limited pictures and information provided , for a more detailed and bespoke plan please consult with your plastic surgeon.
It is hard to tell from the pictures if you need a lift , the main factor in determining that is usually based on the relationship between your nipples and your IMF (inframammary fold), which is hard to tell on pictures. That being said a breast lift will move the nipples , so if nipple lateralization is a major issue for you then it might help with that. That being said I am guessing based on your pictures that your issue is more of a volume issue, which an implant can help with. You can always undergo a lift later if you are not pleased with your outcome with an implant alone. Just do not go for massive implants that do not fit your frame in order to forgo a lift as this will only cause you to have issues in the future. Pick a size that will complement your figure.
I hope this helps, best of luck!

Daniel Barrett, MD · Answer

Dear Sensible2407,

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

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

Hi, according to your pictures, we can surely say that you don’t have actual ptozis, you have glandular ptozis which can be treated by implants perfectly. The scar will place underneath your breast and won’t be visible from the front.

Chet Mays, MD · Answer

Thank you for the inquiry!  You have options to get the natural look you are looking for.  We would love to sit down with you to discuss your concerns. Schedule a consult with a Board-Certified Plastic Surgeon to help you reach your goals.

Joel Patrick Maier, MD · Answer

While you have some mild ptosis of the breast, I would not push for a breast lift. With the s scars and minimal benefit, a mastopexy will be a long run for a short slide with an unfavourable risk/benefit ratio. Thank you.

Caner Kacmaz, MD · Answer

Thank you for your pictures. You are a great candidate gor breast uplift surgery. However, you sjould be aware of the scars after the operation. 
Even though the incision is thin, the breast lift scars will be very noticeable, with a red, raised appearance. As the wound heals, the scar will fade to pink and eventually turn white, as well as flatten out so it is no longer raised fyi. Best of luck to you

Christine Rodgers, MD · Answer

Hi Sensible2407! Thanks for sharing photos as these are very helpful. From your history and photos it does appear that you would benefit from a breast lift, however if you were interested in breast implants, depending on the size they can sometimes help provide lift as well. This is also dependent on the size of the implant - if you want a smaller implant, you made need a lift along with it, if you want a larger implant, you may not need the lift. I would recommend you consult with a provider near you that can assess you in person and review their recommendations as well as the benefits/risks of these procedures. Hope that helps!

Gary M. Horndeski, MD · Answer

The technique I recommend is a breast 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ira H. Rex III, MD · Answer

This can be a complicated question and requires a good examination.  It seems you are her breast tissue has fallen below your nipple position and you may benefit from repositioning this and a slight movement of your nipple areola.  A very small implant combined with a lift and liposuction of the axilla may give you youthful and somewhat natural looking breasts.

Eric Swanson, MD · Answer

Breast implants are not a substitute for a lift. However, in view of the fact that you prefer a little sagging and your nipples already sit high on your breasts, I would not recommend a lift (and I do them frequently). Implants alone should work nicely for you to provide the desired upper pole volume. You will not look fake and should not have a snoopy or waterfall deformity.

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