What grade of ptosis do I have and what can be done to help my deflated breasts? (photos)

Question

My main concern is deflation and lack of upper pole volume. As my breasts sit quite close I want to avoid low profile implants, but the high profiles to fit breasts with a wide base width seem to be almost double the volume recommended with an uplift. Would a moderate profile give me upper pole definition. If it needs to be a high profile for more definition will I end up with a massive gap if the width is too small. Should I go with a lift and risk implants that are too narrow, or just implant?

Gary M. Horndeski, MD · Answer

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.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Certainly even with narrow cleavage you can still implant a high profile. You do have a lot of breast tissue that may need to be lifted but of course Speak to your Plastic surgeon to see what your options are.

Daniel Barrett, MD · Answer

Dear SamanthaG85,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

If you are happy with your volume but want more upper pole fullness you could consider a lift with auto augmentation.  This approach uses your own tissue to create upper pole fullness.  If you are wanting additional volume you can consider a small implant as well.  I've included a video on auto augmentation that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

First, you appear to have plenty of breast tissue, so a lift would work well for you. Second, naturally your breasts sit low on your chest. Even with a lift, you will not have high perky breasts. You can achieve more upper breast fullness with an implant placed behind the muscle, and this will add more volume.  I would suggest a moderate profile for you just based on your photos if you want to be larger or achieve upper breast fullness.

What grade of ptosis do I have and what can be done to help my deflated breasts? (photos)

Answers (5)

Answer: Considering options

Answer: Considering options

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Lift with Implants

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What grade of ptosis do I have and what can be done to help my deflated breasts? (photos)

Answers (5)

Answer: Considering options

Answer: Considering options

Answer: Breasts

Answer: Breasts

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Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.