Louis DeLuca, MD

It is important to look at the position of the nipple and breast tissue in relation to your inframammary fold (the crease under the breasts) to determine whether a breast lift will give you the best result.  A breast augmentation will give your breasts a very small 'uplift', but if your breasts are saggy to begin with, then a breast lift will probably be needed to give you a more perky appearance.  Some women do not want the scars necessary to perform a breast lift and therefore the implants can be placed over the muscle to give a very natural appearing result.  Everybody's perception of saggy can be very different.  Some women want a very 'natural' appearance with the breast sloping downward from the chest.  Others prefer more fullness with a rounded shape.  Depending on your viewpoint, and your own particular breast anatomy, both of these results can be achieved.