Cosmetic Surgery Blog

Q: What Breast Lift is Recommended if You Already Have an Augmentation?

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:02

i am 26 years old, 136 pounds, and 5'2" with a 450cc breast augment. my breasts just seem too saggy and i am unhappy with them. i want a lift to perk them up and would like to know what lift would be recommended.

A: Nipple position is not improved by breast augmentation

Sagging with low nipple position on the breast mound is not improved with breast augmentation. Depending on the degree of descent of your nipple a breast lift may offer improvement to your breast appearance.

Q: 6 Weeks Post Op from Breast Lift with Implants- Rash on Nipples & Breasts

Submitted by Q-A from clee on Wed, 06/15/2011 - 02:57

real scaley. the skin around my nipples is a red rash. my incision goes around my nipples, down my breasts, and across the bottom. this appeared about 2 weeks post op

A: Most likely cause is contact dermatitis

It is difficult to be precise with the diagnosis without more information (i.e. photos). The possible causes include low grade skin infection, skin maceration and irritation, allergic contact dermatitis. Based on your description contact dermatitis is highly probable. A return visit to your surgeon is advised.

Q: Sagging Breasts: How to Perk Things Up

Submitted by Q-A from clee on Wed, 06/15/2011 - 02:48

after babies and i guess aging :( my breasts sag more than i'd like. is breast lift or plastic surgery my only option for getting them perked up again?

A: Surgery is the only effective method

Surgery is the only effective method to lift sagging breasts. If your nipple position is low, then correction will require some method of breast lift. When combined with a breast implant and augmentation, the technique of breast lift can usually be adjusted to yield a reasonably well concealed scar.

Q: Age 22. Best Breast Lift Technique w/ Minimal Scars?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:52

nipples are above 1 1.5 cm above the crease breast nadir(the lowest part of breast) is 1.5 cm below the creast rib cage size 85 cm and the measurement around the nipple 102 cm sternal notch to nipple 21,5 and 22,5 and one breast is samller than other anh they are apart from each other

A: Your photos suggest a mild form of tubular breasts

Your photos suggest a mild form of tubular breasts. As such there is mild contraction of the breast base, ptosis, enlarged areolae. My best results have been with areolar reduction, augmentation mammoplasty with submammary silicone implants with base expansion with mammary tissue radial incisions.

Q: Nipple Badly Scarred

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:40

I had a breast lift about a year ago. I'm satisfied with the overall shape but the right nipple had terrible scaring. It is surrounded by scar tissue now with only a little nipple tissue in the middle. I tried nipple tattooing but it didn't seem to take and I would prefer to have actual nipple tissue if possible. I read you can have it stretched and cut out the scar tissue. Is that true? I'm really embarrassed by the way it looks now. Please help.

A: Your areola appears too scarred to be advanced into the size of a normal areola

Your affected areola appears too scarred to be of sufficient elasticity to be advanced into the size of a normal areola. Based on your photos I doubt that a scar excision with an attempt at areolar advancement will work. While you have already tried tattooing, repeated application of tattoo pigment may augment the color contrast of the psuedo-areola and further camouflage the existing periareolar scar. Alternatively, consideration for a full thickness graft reconstruction of the areola can be considered.

Q: Does a Breast Lift Always Result in Dramatically Smaller Breasts?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:29

I went in for an uplift on my size 36 g breast and have come out a 36 D, i am traumatised by the whole operation and very upset at being so small.

I knew he would have to reduce them but not by 3 cup sizes, is this normal? do they have to always make your breast much smaller to achieve this?

A: A breast lift should not make your breast smaller

A breast lift should not make your breast smaller. However, with G cup size breasts, neck back and bra strap symptoms are commonly treated by reduction mammoplasty. Perhaps you should discuss with your treating surgeon the specifics of the procedure performed for you.

Q: Is It Possible to Get a Slight Reduction and Add a Small Implant to Get Upper Pole Fullness?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:12

I'm a saggy 36DD and would like to be a full C/small D, but I really love the fake look that implants give, so I want implants for upper pole fullness. Is this possible?

A: Implants with mastopexy are reasonable choice for the smaller breast

Implants with mastopexy are reasonable with smaller ptotic breasts with upper pole flatness. While this technique can be used with large breasts, the heavy weight of a large breast makes a recurrent deformity or "waterfall" deformity from descent of the breast tissue over the implant a potential long-term problem. In the large breast with flat upper pole, I recommend a superior pedicle breast reduction similar to that of the vertical mammoplasty as described by Lejour. Depending on your breast size and shape desires options to consider include that of a small implant versus a superior pedicle reduction mammoplasty.

Q: 18 with Sagging.

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:56

I am 18 years old and i am looking for advice in what would be the best procedure for a "Breast Lift". im not looking to get implants i am happy with the size and firmness of my breast i just need a lift to enhance what i already have and im looking for an opinion of what would be the best procedure for my type of sagging.

A: Vertical mastopexy is a good choice

Based on the provided photo it looks as though you would be a great candidate for a vertical breast lift. This surgery would improve the shape of your breasts and the size of your areolae. Additionally, this surgery will likely not interfere with your sensation and your ability to lactate. For best results contact a board certified surgeon.

Q: Augmentation and Lift 4 Years Ago. Will Breasts Sag if I Remove Implants?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:54

I Have Had my Implants Aprox 4 Years I Got 390cc with a Lift Done I Want Them Removed Will I Still Sag Even with the Lift I Had?

A: Depends on your residual breast tissue

Following implant removal, sagging might occur if the size of implants is vastly larger than your normal breasts, if you have lost weight, if you had children, amount of breast tissue you have, your skin elasticity, and aging.

Q: Are my Breasts Saggy

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:54

Im 20 and hate my breasts. The nipples point down and I have large arola with blue green veins. What should I do??

A: Might consider breast lift

Your breasts are large and appear to be sagging with wide areolae. You can consider a breast lift (mastopexy) to reduce the amount of sag and get desired areolae size. For best results contact an experienced board certified plastic surgeon.