Will I be able to get the size I want? (Photo)

Question

Hello, Thank you for your time. I have severe breast ptosis and I wanted to go back to my prior small size of 30-b/32B. I really miss my small breasts and want to be able to wear no bra and go jog without them being in the way etc. I also would like fat injection instead of implants would that be possible with what I desire? I plan on getting a tummy tuck too so it will go together better but I'm just asking about my breasts on this question. Is it possible? I've included photos.

Daniel Barrett, MD · Answer

Dear SweetSeoul,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @SweetSeoul, thank you for your question. You could consider a breast lift and it will for sure enhance the shape and projection of your breast. This procedure will remove excess skin, reposition breast tissue in order to create a better shape and cleavage with the BRALift (Breast Anatomical Lift)  technique . The scar can be varied, mostly the inverted T- shaped is used however in my experience of 23 years I have made a modification to improve the extension of the scar being the L shape for minimal scarring and the most adequate result. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. I link a video to shed more light. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Randal Haworth, MD, FACS · Answer

Based on the photos you've provided, it appears that you have significant breast ptosis (drooping). It's possible that a breast lift procedure may be necessary to address the sagging before any volume reduction can be performed.

Regarding your desire to go back to your previous small breast size and use fat injection instead of implants, this may be possible, depending on your individual anatomy and the amount of fat available for transfer. A plastic surgeon would need to evaluate you in person to determine if this is a feasible option.

If you do decide to undergo a breast reduction and lift, the surgery can be done in combination with a tummy tuck to achieve a more comprehensive transformation. However, it's important to keep in mind that undergoing multiple procedures at once may increase the risks and recovery time.

It's essential that you have a thorough consultation with a board-certified plastic surgeon who can evaluate your individual anatomy, discuss your options, and provide you with personalized recommendations based on your goals. They can also help you understand the risks and benefits of each procedure so you can make an informed decision.

I hope this helps,
Best of luck !

Randal Haworth from Los Angeles

Joel Patrick Maier, MD · Answer

I would not hesitate to recommend a breast lift with liposuction of the front bra rolls (side breast fat removal). This will dramatically change the shape and proportion of your breasts with maximal lifting and tightening. Unlikely that you will need fat transfer . . . Thanks for sharing.

Brian Bassiri-Tehrani, MD · Answer

This is an excellent question. Fat transfer to breast is a good alternative to implant augmentation in patients who do not want implants, have sufficient fat to liposuction, and understand that the fat transfer can offer only a small to modest improvement in size in breasts. Furthermore, sometimes multiple procedures need to be done to get the desired size and shape of the breasts since not all of the fat that is being transferred survives (about 50-60% survives).
In this scenario, however, there is severe ptosis, and fat grafting alone will not lead to a good outcome. The ideal procedure would be a breast lift (mastopexy) to lift your breasts and put your nipple-areola complex higher up on the chest/breasts. In addition, fat can also be transferred to the breasts to add a modest amount of volume. This can be done in one stage, however, multiple fat grafting sessions may be required to achieve your desired and optimal shape and size.
Lastly, if you are considering a tummy tuck at the same time as your breast procedure, liposuction can safely be performed in specific areas of the abdomen and used for fat transfer to the breast. Too much or aggressive liposuction in the abdominal area at the same time as a tummy tuck can be dangerous if not done appropriately, so make sure you discuss this with your plastic surgeon before surgery.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding your breast size and for including photos. They are extremely helpful!

From the photos that you shared and your stated goals, it appears that you would be a good candidate for a breast lift. During an in person consultation, the surgeon could give you a good idea of what size you would be naturally with a lift.

I recommend you have two or more in person consultations with an experienced board-certified plastic surgeons in your area.

Gerald Minniti, MD, FACS · Answer

Fat grafting, like implants, increase breast volume, but won't address your ptosis. You are a great candidate for a breast lift, aka mastopexy.

Ronald J. Edelson, MD · Answer

First I would recommend a breast lift. After that you can decide if you want more volume in the form of either fat transfer or breast implants

Anna Steve, MD · Answer

Breast lift is the best procedure to treat ptosis (droopy breasts). Fat transfer is a great option for adding some natural volume. Typically a tummy tuck is combined with a procedure called lipo 360 to sculpt the waist and enhance the results of the tummy tuck. The fat removed during the liposuction portion of this procedure can be collected, and used to boost volume in the breast. This creates a slightly more natural, less round shape than a breast lift with implants.

Zoran Potparic, MD · Answer

You will need significant breast lift! There is enough of tissue to provide cup size B after lift is completed. Liposuction of chest/breast folds on the side would enchance breast lift result and make breast look visually larger. Hope this helps.

Will I be able to get the size I want? (Photo)

Answers (16)

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