Do I have Pseudoptosis? Would I need a lift? (Photo)

Question

Hi, I’m considering having breast implants. My breast are now empty after breastfeeding for a year. Would I need an uplift aswell? I would prefer to not have an uplift because of the scarring, also which method I.e. under the muscle or over, is less likely the cause problem. A little scared of having capsular contraction and double bubble. Thank you for your help

Kenneth Hughes, MD · Answer

You may benefit from a breast lift with implants. A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. The augmentation lift can help eliminate the sagging skin causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape. I recommend you setup an appointment with a board certified plastic surgeon for proper evaluation.

Donald R. Revis Jr, MD · Answer

Good afternoon!

You do have a little preudoptosis- most of your breast tissue is below the level of your nipple. I would recommend the following approach:

1) donut mastopexy to tighten your skin without having to give you the vertical scars of a more aggressive lift

2) submuscular augmentation

3) saline or silicone- your choice

4) size and profile to be determined when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear misslisa226,determining whether you need simply a breast augmentation versus a breast lift 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 a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Unfortunately based on the limited views supplied, and not knowing what your goals are, it appears that you would most benefit from implant placement and a lift.  The implant will help restore lost breast tissue after pregnancy and weight loss, while the lift will remove excess skin and allow for resizing and repositioning of your breast tissue and nipple into a higher, more youthful, position.  Hope this helps

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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.

Milan Doshi, MS, MCh · Answer

Thank you Misslisa226
 for your question and photographs. For the best personalized advice photographic evaluation is not enough. An in person consultation is must.
Yes, from the photographs  it is a pseudo ptosis.
 you will benefit from dual plane breast implant.  Cosmetic surgeon can modified technique best suitable to you without additional scar.
If needed you can always go for breast lift surgery afterwards.
Please consult a board certified plastic surgeon near you for personalized information.
 Best of luck
 Dr Milan Doshi 
Mumbai India

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry.
You may be an excellent candidate for breast augmentation surgery. You could benefit from a lift.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Do I have Pseudoptosis? Would I need a lift? (Photo)

Answers (8)

More Breast Implants Questions

Teardrop or round be best for me? Don't want to lose shape and I want natural looking breasts!

I am currently a large C cup and I want to be a DD/DDD cup. About what sized silicone implants should I get?

Am I a good candidate for breast implants? Would teardrop be my best option?

Cyst + Fibroadenoma and Breast Implants. Is this the right approach?

From 36 A to 750CC ultra high. What cup size will I be?

Will 650cc saline implants or 700cc saline look too big for my body frame? (Photo)

WE SEND PRETTY
EMAILS