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