What is the Best Fix for my Sagging Breasts? (photo)

Thank you for your question and photos!  You have breast drooping and some loss of breast volume in the superior pole.  The combination of augmentation with a lift would give you the most youthful outcome.  You are also a candidate for a lift only, but the upper poles will not be as full or round.  You should do well with either choice. Best wishes!

Difficult
to assess you without examination. It looks as if you will want a mastopexy.
Often this is combined with implants. Depending on your degree of ptosis or
sagging, you may even be a candidate for implants alone placed over the muscle.
And experienced Board Certified Plastic Surgeon will counsel you correctly.

Larger breasted women certainly retain enough volume in their breasts after a lift to still fill a decent cup size.  However, a breast lift will not result in an increase in the upper pole volume.  The tissues simply will not stay in the area close to the collar bone.  This is where an implant comes in handy.  The implant will increase the volume in this area and give a much rounder appearance to the breast.

 

 

I also remind my patients to keep in mind that there is only so much weight we can add to the breasts before putting too much pressure on the back and shoulders. Your surgeon should advise you on how best to meet your expectations without causing any unnecessary discomfort.

     A breast lift would definitely help your contours and give you the lift you want.  Adding implants would increase upper pole fullness, but do not forget that it makes your bra bigger.

In younger patients with rather large and droopy breasts it is rather important to find out a little more about patients developmental history. In someone that’s quite young and rather thin with significant breast enlargements it might not be appropriate to place an implant at the time of breast breast surgery. It appears that you have an adequate amount of breast tissue to achieve more attractive, more symmetrical and uplifted breasts without an implant. There are a number of other considerations to discuss in your particular case. Make sure you see a Board Certified Plastic Surgeon with lots of experience with Breast Surgery. Do not by shy about asking to see lots of before and after photos, so that you can judge the surgeon’s work.

You are a good candidate for a breast lift, but I do not ink you need implants as well.  Your breasts will be large enough without implants.  Just be aware of the scars that are involved as well as the risk of loss of nipple sensation or the possibility that you will not be able to breast feel if you have the surgery.