Large sagging breasts need breast lift and contouring of existing breast tissue.
You already have large amount of breast tissue. I will never use implants in someone with your size.
A lift and reduction with reshaping of your own tissue would give you a large D-cup.
You do not need implants. You have to accept scars as trade off for pretty new breasts.
There is no other way to achieve the look that you want. Keloids is another risk. If you don’t want to take a risk of scar or keloids, you should not have any surgery. (Vasdev Rai, MD, Dallas Plastic Surgeon)
Breast Augmentation
I do not think you need implants. A well done mastopexy should give you the lift you want and attractive looking breasts (Rick Rosen, MD, Norwalk Plastic Surgeon)
Do I need a breast lift along with breast augmentation?
After reviewing your photos it appears that you need to have a breast lift. In the absence of lifting your breast augmentation will not have an result. You may be able to benefit from performing the breast lifting by making an incision only around the areola. This wil greatly minimize scarring, which may be more pronounced in the African-American patient. But you really need to be examined, and if necessary by more than one Board certifoed Plastic Surgeon. (George Lefkovits, MD, New York Plastic Surgeon)
I think you do need a lift and implants to achieve the shape that you desire. The question is what type of lift and what size implant.
From the photos you provided, I think a full lift is what you need. The concern over the scaring and keloid formation is a valid one. Every skin type is suseptable to hypertorphic scarring and keloid formation.
This is one of the risks of any surgery. (Moneer Jaibaji, MD, San Diego Plastic Surgeon)
You need a breast lift
From your photos, it is clear that you will need a breast lift. This will raise the nipples and will also reduce the size of your areolas. The result will be as if your are in a push-up bra. The scarring will be a lollipop. In my practie, I operate on a large number of African American women and suprisingly the scars tend not to be bad.even in women who have a tendency for hypertrophic/keloid scars.
Now, if you still want to be bigger, than implants can be placed at the same time as the lift through the same incisions. So to sum things up, I think you need a lift at the very least, and a lift + implants if you desire. Come see me in Manhattan and we can talk more about what would be best for you. (Matthew Schulman, MD, New York Plastic Surgeon)
From your photographs it appears that you might obtain a nice result with a breast lift or mastopexy alone but you probably would be unhappy with an augmentation alone. It appears that your nipples are situated below your inframammary folds. If this is this case, your are unlikely to obtain anice result with an augmenttion alone.
Looking at the volume of breast tissue in your “ideal result”, it looks as if this could be achieved with a mastopexy without the need for an implant. Please arrange for consultation with a BC plastic surgeon (who is preferably a member of ASAPS) who can discus with you your options. (John Whitt, MD (retired), Louisville Plastic Surgeon)
The lift will get you there
The nipple should lie above the breast fold, and near the mid-point of the upper arm. Breast implants just will not get you to the look that you want. Keloids should not be a problem for you,and we don’t ‘like’ the scar either, but an implant alone will not work. Best of luck, peterejohnsonmd (Peter E. Johnson, MD, Chicago Plastic Surgeon)
Candidates for breast lift
Based on the photos you provided, you would benefit significantly from a breast lift. Although you are African American, each person is unique and the way one person scars may be much different from the way another person may scar.
Unfortunately, your breasts will not be bigger without implants. On this site, I do my best to give advice without a physical examination but I want you to know that a physical examination by a board certified physician is always the best way to get the most accurate information. (Tom J. Pousti, MD, FACS, San Diego Plastic Surgeon)
Breast augmentation together with breast lift
No you are not! Your photos show large drooping breasts with the right breast slightly larger than the left. Under no circumstances should you have a breast augmentation without a lift.
That will only make your current situation worse and your drooping will go past the belly button if the implants are not under the muscle. If they are placed under the muscle they will be no where near your current breast tissue position and you will look like you have 4 breasts.
With your current breast size I would not give you breast implants even after a lift as the weight and size of the implants will only serve to stretch the lift scars and make them look worse. I do not know why you would want to look like the woman in the third photo. Her areola are stretched out and you can see the outline of the implant edges.
It looks like her implants are sitting on top of her chest muscles. Just look at her left breast and trace the round edge of the implant on the upper half of the breast. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship. (Aaron Stone, MD, Los Angeles Plastic Surgeon)