It's HOW the breast lift is done that determines the result.

George J. Beraka, MD answers: Will I be happy with a breast lift alone and no implant?

 I am a 36 yr old mom of 2, currently a D cup and happy with my size. My beasts are saggy and have lost all upper volume. My nipples don't point down, but they are low and definitely need to be moved up. The doctor I visited said I only need a lift, but I can't help but wonder if I will be happy with out a small implant. I would have an anchor scar and he said something about an "internal bra" so that they would be "perkier" and that is why I wouldn't need an implant.


George J. Beraka, MD
8 months ago

Hi!   This is a very important, frequently asked question.

1)  Many surgeons do a lift just by tightening the skin envelope of the breasts.  But skin stretches, and this approach will definitely not give you the upper fullness that  you (and every other woman) want.

2)  You can "rescue" a skin lift by doing a "plus/minus" operation, where you remove lower breast tissue and add an implant, so the total size of the breast does not change. This is not a bad option, but not what I recommend.

3)  There is a lift that will give you long term upper fullness without implants.  The breast tissue itself is moved up on the chest and the breast is sculptured with inner stitches.  The skin plays no role in this lift.  Variations of this kind of lift have been described by Dr. Lejour from Belgium and by Dr. Hall-Findlay from Canada.

4)  You do not need an anchor scar for a breast lift.  I use an anchor scar only for very big breast reductions.  For a good major lift, you need a "lollypop" scar, which is more acceptable.

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A: It all depends what you are looking for

David Shafer, MD
8 months ago

The choice of an implant or not is really dependent on what you are looking for. If you want considerable upper pole fullness then you many need an implant. However, if you just want the nipple elevated, then you do not need an implant. In most cases, it is possible to do an internal auto-augmentation with the tissue that is usually resected during the lift. This can help augment the upper pole deficiency. Good luck with your surgery.

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