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Am I a Candidate For Implants Without a Lift?
asked 9 months ago by lovegame in
Latest answer by William D. Merkel, MD
Question viewed 486 times
Tags: candidate, D to DD cup, downturned
Or something smaller than a full lollipop lift... I'd like to recieve rather large implants DD/DDD. I am a saggy D now.
21 answers to Am I a Candidate For Implants Without a Lift?
+6
Breast lift without vertical scars
Hi,
You will definitely need a lift in addition to implants (if you desire to be a DDD). There is a new lifting technique that gives you a full lift without the need of a vertical scar. It also allows for your existing breast tissue to be moved upward and secured permanently to your chest muscles. This allows for a more permanent lift as opposed to conventional lifts.The scars are well hidden around the areola and under the breast mound. So please don't be concerned...
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+4
Augmentation with or without Mastopexy
From your photos, you definitely will need a lift; it is difficult from pictures to get an idea of the "quality" of your soft tissue, which is important in making recommendations for you. Best to get a number of opinions with board-certified plastic surgeons, and share your concerns and goals; pick one that you are comfortable with. You really may do best with a two-stage procedure if your desire is to be really large; a lift can be done first to reposition the nipple...
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Jerry Lugger, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+3
Breast lift with Augmentation
Judging from the picture on the left of a women without implants, it does not appear that you can get a good result without a lift along with you augmentation. We can put implants in to make your breasts bigger but it looks like from the amount of ptosis (sagging skin) that you have, you will most likely need a lift too.
Robert Heck, MD
Columbus Plastic Surgeon
Columbus Plastic Surgeon
+2
Must have lift
Small or large implant you must have a lift. In fact, in my practice I would not offer you an augmentation without a staged lift followed by augmentation three months later because of the amount of adjustment you need. You also may not be able to go as large as you desire. Good luck and get multiple opinions as you are more challenging case.
+2
Implants and Lift
You absolutely need a lift with an implant to achieve your goals, and you also need to be realistic about what your anatomy will produce. This is a complicated operation, but you can have a dramatic improvement with your appearance. Choosing a very large implant will likely lead to a second operation so be cautious regarding your choice. See a board certified surgeon in your area to discuss this in detail.
Best of luck
Vincent Marin, MD
San Diego Plastic Surgeon
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+1
Implants without a lift?
Larger implants can help to reverse sag, but they have to be placed selectfully. You must have a very experienced surgeon perform this procedure.
William D. Merkel, MD
Grand Junction Plastic Surgeon
Grand Junction Plastic Surgeon
+1
Unrealistic expectations from breast surgery
Unfortunately, your expectations won't be met at all without a full lift. In addition, because you have very poor tissue elasticity, huge heavy implants won't stay up and full over time. Your best plan in my opinion would be to have a full lift and more moderate implants. Good luck!
+1
You'll definitely need a lift
Your breasts shape is similar to a tubular breast. Your breasts are long and narrow with a wide cleavage. The areola are disproportionately large for your breast size. You would definitely need to have a lift. As far as being a double D or larger, that is something that would have to be discussed, because I'm not sure your body size can accommodate that. I have done some extremely large breast augmentations for certain patients but it's important to discuss things fully and make sure...
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Joseph M. Perlman, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
+1
Breast lift with or without augmentation
When women with saggy breasts want to go bigger, I usually advise doing a breast lift along with the implants. Otherwise, the implants create what we call a “double bubble,” where the breast droops off the end of the implant like a sock. Some of my patients, however, don’t want a lift because they want to avoid additional scarring, so sometimes implants alone can fill out the skin and eliminate the saggy appearance. A mastopexy (breast lift) raises droopy breasts from one...
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Michelle Copeland, MD, DMD
New York Plastic Surgeon
New York Plastic Surgeon
+1
Wanted- Large Breast
It is not possible to make your breast look like the photo on the right with implants alone nor with implants and a Mastopexy. You can get a good result with an Augmentation Mastopexy if reasonable size implants are used rather than just the largest implant that can fit. Your goals have to be realistic before any surgery is done or you will not be happy in the long run.
Walter D. Gracia, MD
Arlington Plastic Surgeon
Arlington Plastic Surgeon
+1
Implants + Sagging Breasts = Rock in a sock!
Implants do not lift breasts.
Lifts lift breasts.
Lifts must lift breast tissue not the skin on the breast. Pick your technique wisely.
My rule is that if the nipple to sternal notch distance is less than 25 cm's, then a Tear Drop circumareolar lift is possible. For greater than 25 cm's, a Lejour lift is appropriate.
All lifts will reduce some volume as part of the procedure. To add volume, add an implant!
Robert M. Freund, MD
New York Plastic Surgeon
New York Plastic Surgeon
+1
Breast lift and breast implants
Your posted left photo, which I assume is you now, shows asymmetric breasts, enlarged stretched areolae, skin stretchmarks on the upper half of the breasts, drooping breasts with the nipples lying well below the inframammary fold, prominent breast veins and wide spacing between the breasts. If you just put in breast implants these issues will not be corrected and you will most assuredly not be happy. The cleavage cannot be corrected by any surgical means. You will need breast tissue and skin...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Implants without Lift?
Thank you for sharing your photos. Based on the left photo, you have a very complex breast shape to fix. You have very large areolas and most of the breast is loose skin. In addition the breast footprints are very far apart. Bottomline, I would want to educate you on what cosmetic surgery can safely accomplish for you. I do not think a DD/DDD is realistic with your body frame and breast anatomy. I think a realistic goal would be a...
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+1
Sagging breasts cannot be corrected with implant alone
Hi DNCole,
You definitely need a lift. I also believe you need a lollipop scar. If you have just a peri-areolar lift, the scar quality will be very poor. Naturally, I understand you are concerned about the scars. However, fine quality scars usually do not bother patients. I do several things to promote good quality scars: 1. Use a permanent suture around the areola to minimize the chance of the areola spreading and widening after the surgery; 2....
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+1
Breast lift and determining implant size
You will need a breast lit (mastopexy) to reposition your areola and tighten some of the loose skin and reshape your breasts. However, this will not fill in the loss of volume that you're looking to restore them to. Thus, while you'll need an implant, the safest way is to stage these procedures in that you'll require the lift initially and then follow with an augmentation 6 months later. I would encourage you to not arbitrarily choose any random breast implant size, but work with...
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Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Lift with Implant
I concur with my colleagues. Your photo reveals significant sagging and therefore you will need a lift. However, a physical exam is needed to further assess your chest wall and skin quality. Since you will require a lift and an augmentation to achieve your stated goals, there will be some limitations of what can be safely done in one setting. In the first procedure, your breast shape needs to be improved (ie with the lift) and an implant can be...
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+1
LIFT!
Implants do not give you a lift. They fill the sack. A lift is required to tighten the skin enevelop and raise the nipple-areola to a better position.
+1
Need a lift 100%
There's no way to get any kind of result without a mastopexy (lift) in this instance. You've long breasts with little volume and poor quality skin, much like some of the patients we treat following weight loss surgery. You're certainly good to need an implant if you want to get near the volume your suggesting in the photo, but you could likely get a pretty nice shape with a mastopexy and no implant which may be to your advanatge over time (see below)
One type of lift that...
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Robert Oliver Jr., MD
Birmingham Plastic Surgeon
Birmingham Plastic Surgeon
+1
Breast augmentation plus lift?
No, unfortunately you will not have a good result with breast implants alone. I would suggest breast lifting to be followed by a second stage procedure for placement of “rather large implants” to achieve your goals reliably and safely. in my opinion, breast augmentation alone is not indicated. Also, breast augmentation and breast lifting done together in your case will leave you with significant risks of complications or dissatisfied with ultimate size of the breasts.
Is...
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+1
You need a lift.
Unfortunately, it is my opinion that you need one of the full lifts to achieve the full, large look you desire. Your breasts are too low on the chest, there is too much loose skin and the areolas large. You need to get an opinion from a plastic surgeon who can give you all the options.
+1
Lift or No Lift
In my opinion it won't be possible to achieve the results you're looking for without a lift. It's a little hard to give you specifics without seeing better pictures of you and better pictures of the post-op image you desire. That said, the person you're showing- aside from being extremely large- seems to have a very different frame than you do. With over the muscle implants and a breast lift you can likely achieve much of the size you desire but with...
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