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Breast lift w/o augmentation?

Breast lift w/o augmentation?

Breast lift w/o augmentation?

Q: I’m a 32C. I wanted to get an idea of what options are available to me w/regards to a lift with or w/o implants & if I can get just get a lift, what type of incision. Considering I am of African american descent, I am concerned w/hyperpigmentation of the vertical scar. I want perkier breast w/a little more fullness. I am happy w/the size of my current breast. Also, I have not had children yet but plan to within the next few yrs. My breast have sagged as a result of drastic weight loss. Thanks!

A: Congratulations on your weight loss! There are a lot of issues here to address. Let’s start with scarring. It is tough to predict how you will heal. Certainly hyperpigmentation, scar hypertrophy and keloiding are more common in African Americans than in Caucasians, but there is no way to tell for sure if none, some or all of those conditions would affect you after surgery. I frequently perform cosmetic surgery on African Americans and I often use prescription silicone-based scar lightening agents after surgery. I also keep my incisions as small as possible and try to place them in less noticeable spots.

You mention that you are happy with your breast size, but would like more fullness and perkier breasts. A breast lift would address the perkiness, but not the fullness. In order to take care of both, you could consider having a breast lift along with a small implant or fat grafting to your breasts.

Thank you for sharing your intent to start a family in the next few years. While that certainly doesn’t rule you out as a candidate for breast surgery, you should keep two things in mind: first, breast surgery could possibly affect your ability to breastfeed your babies – especially since you are likely a candidate for a crescent, or periareolar, lift. Any time we make an incision around the areola, we risk injuring the milk ducts. Secondly, pregnancy may lead to sagging similar to what you see now. Many women find that their breast size increases during pregnancy (sometimes dramatically), only to decrease again after birth or after you finish nursing. This can lead to sagging. If you have a breast lift before pregnancy, you may find you need another one when your family is complete.