Which procedure options would help correct deflated breasts with minimal scarring? (photos)

Question

Hello. I would like to fox how low and deflated my breasts look, but I don’t want a vertical scar and I don’t want to inscrease or decrease my breast size. I also heard that the crescent or donut lift isn’t good. Is it possible to achieve this by maybe putting a very small implant behind the chest wall? Will that fill out my breasts and make them look for taught and lifted? Can I combine this with bodytight or Morpheus 8 to make them tighter? What can I do. I really can’t stand the vertical scar

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, if interested. 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

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. It appears that you would most benefit from a combination of implant placement to add overall volume to your breast, in addition to a full breast lift +/- mesh.  Unfortunately for your desired outcome you will need to have a a vertical incision.

Sergei Kalsow, MD · Answer

I would put a small implant to fill out the superior pole more and to give them more fullness.  Since you dont want to be bigger, put a small implant, just to give the volume.  The lift you dont need, it wount make much difference just give you a scar.

Daniel Barrett, MD · Answer

Dear Gregarious670292,
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. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

The desired look that you are recreating with your hands cannot be accomplished with a small implant.  You will need to consider a lift, which involves incisions on the breasts.  Typically the incisions heal well and are very acceptable once fully mature.

Connie Hiers, MD, FACS · Answer

Anything other than the vertical lift may be disappointing because of the amount of sagging you have. If you just get implants, you will have larger and still sagging breasts that may sag more over time because of the weight.  Radiofrequency will not tighten enough to stop the sagging.

Adolfo Sesto, MD · Answer

Hello. Thanks for your pictures. Sorry to say, need an inverted T incision because the Nipple-Areolar Complex needs to be reposition way up, and is the only tecnique to correct you. Is up to you to stay with a deflated and fallen breast or change this for a scar that will get almost invisible as time past.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that the distance from the top of your breast bone to the exposed nipple is increased, there is loss of superior pole breast fullness, and there is moderate sag. I cannot judge symmetry of size or shape of your breasts as they are partially obscured.Deflated breasts demonstrate normal skin landmarks but lack volume. In your situation, the skin has stretched out, resulting in sag.As you demonstrate in your photograph as you hold up one breast, the nipple areolar complex has fallen significantly due to previous breast skin stretch. Breast augmentation alone will provide larger breasts of the same shape. A lift is required to elevate the nipple-areolar complex into anatomic position, remove excess stretched out skin, restore superior pole breast volume and conify breast shape.I'm sorry but an implant and non-surgical skin tightening will not be sufficient to correct this amount of sag.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

Richard P. Rand, MD, FACS (retired) · Answer

What you want you cannot achieve by the limitations you have placed. The goal you are simulating can only be achieved by a lift with at least a vertical scar and maybe a small T as well. Implants will not do that. Minor lifts like periareolar will not work because you have too much drooping and extra skin. And even small implants WILL make you bigger and won't move the nipples up at all.

Which procedure options would help correct deflated breasts with minimal scarring? (photos)

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