PseudoPtosis breast implant no lift(having kids within 2-5yrs) (Photo)

Your nipples are located below your breast fold so a lift is recommended. However, if you don’t one want now then it’s important to understand that your implants will be centred behind your nipples, which means they’ll sit rather low on your chest.

Dear WaterMoon86,
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

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

You have grade II/III ptosis, and you will look awful with breast implants alone, and not 'natural' as some people would think. The addition of a breast implant in someone like you will take your natural breast and make it look abnormal. Your implants will look too high, and your nipple and breast tissue will hang off the implant along its lower pole. This appearance is known as 'waterfall deformity'. My rule of thumb is if you are not planning definitively within the next year to have a child, have you plastic surgery. In your case that means getting the lift with the implants. You won't regret it and you may not need any revision surgery after the baby either.

Since you are close to having children I would hold off until after that. However I think you will need a lift because your nipples are already too low.

If you do not undergo a breast lift then the implants have to be centered under the nipple-areola complex. This will require releasing the inframammary fold. When the fold is released then the implants will most likely bottom out and you will have large low breasts. Most women do not like lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative 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.

Since you are planning children, I agree no lift now.

In my experience, many similar women avoid a lift with breast implants alone.

Larger Implants placed above the muscle or dual plane (half under) give best results. Breasts will be fuller but still appear low, natural.

An exam and consultation with a plastic surgeon is recommended to further discuss your options and expectations.

Whether patients need a lift or not generates a lot of angst amongst patients and surgeons alike. In my opinion your best operation would be to do a lift with an implant now and if after having children, they need to be re-lifted or have some revision of the lift so be it and I think that is a reasonable path to take.

Placement of implants without doing a lift in your situation could be performed but would produce very heavy sagging breasts I think would not only look unsatisfactory, but also be somewhat of a physical burden to you particularly with breast-feeding. Typically, the scars after a breast lift heal well, and the shape of the breast is much better and the breasts are positioned on the chest, which makes it functionally better for the patient as well.

Another advantage of having a lift at your stage is a lot of that sub glandular breast tissue that is causing the problem with the drooping can be removed at the time of a lift, which will decrease the amount of breast tissue that potentially has ability to re-droop again.

I would go ahead and have a lift with implants and get a better shape to your breast, get your breast off your abdomen and located back on your chest, which will not only provide you with more cosmetic benefits, but also with some functional benefits and allow your bras to fit better and would also establish a better cleavage along with fullness to the upper pole of your breast. I have included a video link talking about breast lifts.

Hello, thank you for your question and the pics. The definition of ptosis, is when your nipples past the line for the inframammary fold, so stick a pencil under your breasts, and see if your nipples are past that point, you be the judge. If you put implants without a lift, the weight will make the sag more, regardless if you do have children or not, and the implants will have to be placed on top of the muscle because they are way past the inferior border of the pectoral muscle.

Dear WaterMoon86,
Until your childbearing years, you will do very well with a breast augmentation alone. Good luck!