Loftus Plastic Surgery Center

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Breast Augmentation Plus Lift

A Blog on Post- Partum Breast Fixes by Dr. Loftus

One of the most common reasons women seek breast surgery in our practice is to fix the deflated appearance of their chest after having children. Women miss the fullness in the upper half off their breasts that looked good in clothing and bathing suits—the volume that mysteriously went away after breast feeding. Most of these women express a desire to increase volume or fullness, plus they want their breasts to be perkier.

What exactly does perky mean? Perkiness exists when the nipples are in an ideal position and there is an optimal amount of fullness in the right places. As your breasts enlarge from pregnancy and breast feeding, the skin stretches. When your size decreases, you are left with extra skin. This causes the nipples to fall from their ideal position as the breasts deflate.

How can we fix it? First, we need to decide how much more volume you want. By using breast implant sizers, we can pick the right implant volume. This is the most accurate way to find the size you will be happy with in the long term. Once you have chosen your size, we need to decide if you need a lift.

Whether you need a breast lift depends on your nipple position relative to your breast crease or inframammary fold (IMF). Basically, if your nipple is above your breast crease, you do not need a lift. If your nipple is below your breast crease, you need a lift. If your nipple is right at your breast crease, it depends. If your nipple is right at your breast crease and you choose a small implant, you will probably need a lift for the best possible shape. If you choose a moderate sized or larger implant, you will probably have a good shape without a lift.

When a breast implant is inserted, its bottom edge is near the breast crease or inframammary fold. Adding a breast implant does not lift the nipple. So, if your nipples are below your fold before, they will be below your crease after surgery, too. That is, unless you have a lift. What does it look like if your nipples are below your fold and you get a breast augmentation without a lift? Well, not good generally. Since the implant is sitting above the fold, its shape and volume are higher on the chest. The nipples and surrounding natural breast tissue, however, are lower and appear to be melting off of the implants. Not pretty. To summarize, breast implants CAN be used to correct deflated appearing breasts when the nipples are not too low. If the nipples are too low, a lift is necessary, too.

Each patient had different size goals– the upper patient wanted to be proportionate, and the lower patient wanted to be larger than proportionate. Both patients were able to get the size, perky shape and result that made them happy. The trade off with a lift is more scars. When faced with severe sagginess, many women would gladly accept the scars for a much better shape. Fortunately, the scars generally improve a lot over time. In most patients, the redness fades and the scars soften. In fact, we take some extra measures in our practice to help these scars fade and soften more quickly with scar massage and a special scar cream.

We hope this blog helped you understand breast augmentation and breast lifting. Contact us to set up a consultation if you are ready to pursue your aesthetic goals.

Dr. Loftus

About Dr. Loftus


Dr. Loftus is a female plastic surgeon who is considered a national authority on plastic surgery, having appeared on numerous talk shows as an expert. Her book has become a best-selling book on plastic surgery and has earned her the reputation as a vocal advocate of patient safety, satisfaction, and education in plastic surgery. No wonder her patients have such great things to say about her…
Dr. Loftus standing by staff
My results are amazing - Dr. Loftus is amazing!
My friends can't believe how natural I look!
I had no pain after surgery and recovery was so easy.
The entire experience was fabulous!
I am a nurse who has worked with many doctors, Dr. Loftus is the best!
The care was exceptional and results are incredible!
My results are better than I ever imagined!
Dr. Loftus is a rare surgeon: highly skilled, personable and compassionate!
My experience from start to finish was completely extraordinary!
Awesome results from a skilled and caring doctor.
I love love love Dr. Loftus and everyone in the office!
I've never felt so comfortable and understood in a doctor's office.
I felt so comfortable and barely had any pain at all.
I never knew I could look this good! Thank you Dr. Loftus!!!
Never met such a warm and caring staff anywhere else.
If only every doctor could be like Dr. Loftus, how very fortunate we would be.

Dr. Loftus
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Dr. Loftus
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Dr. Loftus
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Dr. Loftus
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Dr. Loftus
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Dr. Loftus
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Cincinnati: The Christ Hospital
2139 Auburn Avenue, Suite 201
Cincinnati, OH 45219
(513) 793-4000
5 minutes from downtown Cinci,
At the Christ Medical Office Building

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Northern Kentucky
1881 Dixie Highway, Suite 300
Fort Wright, KY 41011
859-426-5000
3 minutes from downtown Cincinnati &
visible from I-71/75

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