Sagging breasts: How to perk things up

There are several ways to treat sagging breasts. I try to choose the best option with the least amount of scarring. 

Sometimes, the best thing to do is insert a breast implant to fill the breast envelope.  This usually will limit the incisions the most. 

As we move up the ladder, so to speak, of least to most incisions, I try to offer a circumareola lift (incision only around the border of the areola), then a vertical limited inicison lift, "lollipop incision" (incision around areola and then from the bottom of the areola to the breast fold, vertically, and then if the patient has severe laxity and sagging,  an anchor-type incision is used which incorporates the vertical incison as well as a transverse incision along the inframammary fold.

In my extensive experience I find that sagging breasts can be lifted WITHOUT the need for the additional scarring of conventional breast lifts. When implants are placed in front of the muscle, they will lift the breasts quite adequately; under the muscle they will not.

Breast sagging can consist of two things:

1. Loss of volume
2. Downward descent of the nipple and areola

The volume loss is treated by using an implant. The downward position of the nipple requires some form of a breast lift to place it back on the front of the breast mound, well positioned above the crease below the breast.

Unfortunately, an implant does not lift the breast; it only makes it bigger. There are several kinds of lifts that can be performed depending on how much of a lift is needed to get the proper shape back in the breast.