Need To replace volume but can I avoid a lift?

Question

Age 56, 5’5”, 130 lbs.. Two pregnancies both with large weight gain, am Post‑menopause with additional volume loss due to some recent weight loss/general age. Stretch marks due to all the changes which are now more visible. Am deflated on top but fuller in the lower pole. Looking for a natural looking result mainly to restore upper‑pole volume. I don’t mind a slightly lower, perhaps more age appropriate look and would prefer to avoid a lift due to scars. Will it be possible to avoid a lift and could I achieve good result with skin condition?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I have been in practice for over 30 years and have seen just about everything. A large portion of my practice is dedicated to revisionary breast surgery. In your case, you have grade 1 ptosis for sure. If you place an implant you will definitely have a waterfall deformity and an unattractive breast. No one comes to me wanting breast lift scars. It is a fact that you have a certain anatomy, and your best result will require a lift. Imagine that your breast are already droopy and then you add the additional weight of an implant.  What you think what will happen? You should be able to have a beautiful results with a lift. The incisions look their worst at 2 to 4 months, but they do heal very well and by year are barely noticeable. I would reconsider your position regarding having a lift. Best wishes to you.

Gary M. Horndeski, MD · Answer

Women want to avoid lifts because of the vertical scars associated with the traditional techniques. For that reason, an alterative was developed called 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.

Waylon Zeng, MD · Answer

Hi there, thank you so much for your question and for sharing your photos. Your concerns are related to loss of volume of the breasts following pregnancies and menopause. This is a very common concern that peri-menopausal women will have, so you are not alone in discussing your concerns!
Your nipple is still in a good position as it sits at/just slightly above the fold of your breast. Ultimately this would depend on your goals. If you want a small augmentation to restore some upper-pole volume, this would require a small lift (depending on measurements, a 1-2cm lift can be done with just a donut mastopexy/lift). You may be able to get away with not requiring a lift with implants alone, but this would require a moderately large sized implant to help lift all the tissue up. I hope that helps!

Darryl J. Blinski, MD · Answer

Based on your poster, photos of no frontal post view would recommend a virtual consultation but a dual plane larger breast implant in the 400 to 500 cc high profile type implant would be recommended expect fees to range from $6000-$10,000. Best of virtual consult with.

Need To replace volume but can I avoid a lift?

Answers (4)

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