Are my breasts saggy or deflated and ugly? What can I do?

Thank you very much for your question. Unfortunately,
without a photograph, it is impossible to provide any specific information.
However, it is important to know that after weight loss, breast tissue may
become lax and sag. Depending on your individual situation and needs, there are
several options. A breast augmentation will use implants to improve the size
and volume of your breasts. If there is a large amount of sagging, a breast
lift may be needed to restore a perky chest. I recommend scheduling an in-person
examination with a board certified plastic surgeon, experienced in breast
augmentation procedures. He/she can examine your breast tissue and explain all
of your options.

A breast lift with restore the shape and perkiness to your breasts.  If you want more volume then an augmentation with the lift will be necessary.

Hi Thisismee,

Thank you for the photos. I understand that you want to improve the appearance of your breast. You can definitely benefit from getting breast augmentation surgery.

Determining whether you need simply a breast implant versus a breast lift or both 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 breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. Also, price range for breast lift is around 10k to 15k depending on whether you need a lollipop or a donut mastopexy.

Another important consideration to make would be the breast implant type and sizing selection. In fact, this is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 

When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.

Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.

Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

Hello, if your nipples are located at the lowest part of the breasts, this is called grade III ptosis.  In order to learn about your options such as breast lift or lift plus implants surgery, I'd recommend arranging a consultation with an experienced plastic surgeon.  They will be able to tell you about the advantages and disadvantages of the different procedures.

Thank you for your question. The first step is to be seen and examined by a Board Certified Plastic Surgeon. He or she will then discuss your concerns, exam you to determine the ptosis grade and then discuss your options with respect to the type of lift. You will also benefit from an implant to restore the deflation. These should all be discussed with you during your consultation.
Best wishes,
Dr. Ravi Somayazula

Thank you for your inquiry. You are a perfect candidate for a mastopexy with implants or without. A consultation will be necessary for a proper evaluation. Please consult in person with a board certified plastic surgeon. 

Thanks for the question. You area an excellent candidate for Bilateral augmentation mastopexy (breast lift with implants). I believe you would not be happy with a mastopexy alone, if you feel your breasts are not large enough now -you may feel smaller after surgery with a breast lift if you do not place implants. You should see a board certified plastic surgeon that has a lot of experience doing mastopexy surgeries. Good Luck to you!

Hello, thanks for your question! First off your fiance seems like a smart man, you are wonderful! However the primary concern has to be how you feel. Do you dislike your breast enough to pursue surgery. So to answer your question of if they are ugly or not, that is so subjective and quite frankly being happy and confident is what makes somone beautiful!Medically speaking, It looks like the right breast is slightly less ptotic than the left with somewhere between a grade 2-3 ptosis, respectively, but it is impossible to confirm without a physical exam. In weight loss as in your case it truly changed the fundamental structure of the breast so the "deflated" look is extremely common.An in person consultation with a board certified plastic surgeon is imperative to see what your options are. Depending on the size desired options can range from an mastopexy or breast lift only, to a combo mastopexy/augmentation. Even that depending on the size might be done in one surgery or staged in order to safely deliver a good result. Good luck!

You are an excellent candidate for breast lift procedure to reshape the breast for a pleasing cosmetic result.  Breast implants will add volume.  You definitely need a lift,  You just have to decide if you are happy with your breast volume or if more is needed.  Consult with a board certified plastic surgeon for an in person evaluation.