Breast Augmentation: Q&A

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Can I Get by with Just Implants For Augmentation? (photo)

i really dont want a lift only implants. i am planning on saline i just prefer that and spoke with one doctor and they said if i have enough tissue still than they could put it under that i guess. i just want other insight.i have had four children and i got pregnancy help deflate them :(

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17 Doctor Answers | Asked by monjones15

Doctor Answers (17)
Community Comments (0)

Implants only without a lift may be temporary fix

Thank you for your question and the photos. If you get saline implants only then it may look good for a short while but the saline implants will likely drop into the extra skin that you have leading to saggy rippling implants. For the best long term result, based on your photos, a lift would be necessary. Scars fade in time and it is a long lasting good breast shape that you desire. I know that this is not what you want to hear but I hope that it helps. To be sure,... more

Get by using just implants

If you were my patient, I would strongly encourage a mastopexy (breast lift). The rule that I use is, where does the nipple sit? If it's above the fold or possibly just at the fold, then sometimes one can get away with just using implants. However, your nipples sit significantly below the fold of the breasts. Theoretically, you can just put implants in but I don't think you will be happy with the result. The downside of the mastopexy is of course the scars.... more

Breast Augmentation - Can I Get by with Just Implants For Augmentation?

Can you get by? Yes. Will you be happy? Probably not. Nobody WANTS a breast lift with implants (why would someone want the additional scarring and risks?). Unfortunately, though, some people just need that procedure and, based on the photos you've posted, my guess is that that describes you. Implants just enlarge your existing tissue and, furthermore, the larger they are the more the contribute ultimately to more sagging (gravity!). So putting... more

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Breast augmentation together with breast lift

In your posted photo your nipples point downward with your arms raised. I suspect they would be even more vertically oriented downward if your arms were not raised. They will never point straightforward without a lift so just putting in breast implants does not make good sense to me. The issues of saline vs. silicone and under vs. over the muscle are better broached with your surgeon face to face than online with surgeons who have never and will never see you. I hope you realize that... more

Breast lift needed in addition to a breast augmentation

Your photos clearly show drooping of your breasts which implants alone will not address. If you want larger breasts that look good, then a breast lift (mastopexy) in addition to a breast augmentation is mandatory.

With or without lift

It really depends upon what you mean when you say get by. If a larger drooping breast is acceptable (getting by) then impants alone will deliver that. If you also want improved position, then a breast lift is mandatory which will give a better cosmetic outcome

Michael Hueneke, MD

6 reviews

Nashville Plastic Surgeon

Just implants without a lift

I agree with the majority that a lift (mastopexy) is needed. In this situation I would recommend a mastopexy alone. The nipple position is too low relative to the breast and inframammary crease for an augmentation alone and it is off-axis (off to the side). The breast itself has good size, shape, and reasonable upper pole fill. This is an ideal situation for an improvement with a true breast lift via a vertical (lollipop) incision that would include moving the nipple-areeolas more into the... more

Implants only not mastopexy

My recommendation is augmentation masopexy - implants plus a breast lift. Your nipples are at or slightly below the inframammary fold if you place an implant below or above the muscle is will look like a "ball in a sock." The other option is breast lift alone.

Implants only not a lift

I would recommend you get a lift with or without implants. If you get just implants alone, I think that your breasts will look droopy and you run the risk to have a double bubble look with implant bulge up above and breasts down below.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Is breast augmentation enough for me, or do I need lift also?

Your nipple areola complexes are eccentrically positioned at the lower outer edge of your breasts, even with arms elevated. Breast lift (mastopexy) without augmentation IS an option, but augmentation without mastopexy is NOT. Discard your fear of mastopexy, and embrace it as the best method of achieving the youthful robust breast shape you desire.

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