I had a breast lift 7 years ago with no implants and recently lost 20 pounds and my breasts now dropped 2 sizes and I have no fullness above the nipples. I have a lot of breast under the nipple but I feel flat chested above the nipples and have to wear a super push up bra to get any cleavage. I’m considering adding an implant and am wondering if they would cut into the scars I already have? Is this a risky surgery? 39 y.o. 120 lbs, 5’5”.
Answer: Incision Dear TampaFLgirl,
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Answer: Incision Dear TampaFLgirl,
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March 17, 2025
Answer: Implants will give more fullness above the nipples. Yes , the implants would be placed through the old incision under the breast. 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. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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March 17, 2025
Answer: Implants will give more fullness above the nipples. Yes , the implants would be placed through the old incision under the breast. 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. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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November 21, 2024
Answer: You'll want to find out what type of mastopexy was performed. The answer to this question is that you will first want the old mastopexy operative note to allow your surgeon to find out what surgery was performed previously and where the remaining blood supply to your nipple/areolar complex lies. Once the surgeon knows where the blood supply to the nipple is coming from, she/he will be able to safely place an implant without reducing the blood supply further. A transaxillary breast augmentation may be safest but that would of course use an armpit incision. An argument to use the old scars is that you may want your surgeon to revise the lower pole as the nipple position is on the high side and placement of the implant may stretch the lower pole further, lengthening the nipple to inframammary fold distance.
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November 21, 2024
Answer: You'll want to find out what type of mastopexy was performed. The answer to this question is that you will first want the old mastopexy operative note to allow your surgeon to find out what surgery was performed previously and where the remaining blood supply to your nipple/areolar complex lies. Once the surgeon knows where the blood supply to the nipple is coming from, she/he will be able to safely place an implant without reducing the blood supply further. A transaxillary breast augmentation may be safest but that would of course use an armpit incision. An argument to use the old scars is that you may want your surgeon to revise the lower pole as the nipple position is on the high side and placement of the implant may stretch the lower pole further, lengthening the nipple to inframammary fold distance.
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October 14, 2024
Answer: Breast Implants after a lift Hello, adding implants will give you more upper pole fullness it sounds like you are seeking. Your surgeon will likely use an incision you already have. From the photos and your nipple placement it does not look like a full lift would be needed. As always in person consultation with a board-certified plastic surgeon is recommended.
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October 14, 2024
Answer: Breast Implants after a lift Hello, adding implants will give you more upper pole fullness it sounds like you are seeking. Your surgeon will likely use an incision you already have. From the photos and your nipple placement it does not look like a full lift would be needed. As always in person consultation with a board-certified plastic surgeon is recommended.
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October 13, 2024
Answer: Lift may not be suitable If your nipples are above your breast fold then another lift may not be suitable. Implants alone may be sufficient in give you fullness in the upper pole. Incision placement depends on the surgeon, as it may be in the breast fold (inframammary) or through the areola (periareolae). Some surgeons may also do it through the armpit. Your surgeon would need to examine you to determine whether the incision can be placed in the same location as a previous one.
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October 13, 2024
Answer: Lift may not be suitable If your nipples are above your breast fold then another lift may not be suitable. Implants alone may be sufficient in give you fullness in the upper pole. Incision placement depends on the surgeon, as it may be in the breast fold (inframammary) or through the areola (periareolae). Some surgeons may also do it through the armpit. Your surgeon would need to examine you to determine whether the incision can be placed in the same location as a previous one.
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