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

asked 4 months ago by monjones15
Latest answer by J. Jason Wendel, MD
Question viewed 262 times
Tags: saline implants, deflation, implant, lift, opinion

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 :(

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

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

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

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

Jeffrey Hartog, MD
Orlando Plastic Surgeon

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

Alan Engler, MD
New York Plastic Surgeon

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

Aaron Stone, MD
Los Angeles Plastic Surgeon

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.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

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
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

Scott L. Replogle, MD
Denver Plastic Surgeon

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.

Rondi Kathleen Walker, MD
Washington Plastic Surgeon

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
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.

Steve Laverson, MD
San Diego Plastic Surgeon

Needing a breast lift, not just implants

Your breasts are ptotic (medical word for droopy) and they will not be lifted by implants, just made bigger and more matronly looking. It can certainly be your choice to just have the implants but I have never yet met the patient who would be happy with the result that would give. Good luck with this.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

LIft and/or augmentation

I think that you would probably benefit from a lift and an augmentation. Even with your arms elevated as in the first picture, you need a lfit. Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon

Augmentation Without Lifting

If you want only larger breasts that still have the contours of your breasts now, get the augmentation by itself. You won't look bad, but the results will not have the youthful character of lifted breasts. Dr. Gutowski's advice is similar to what I give my patients. You can always go back later and do a lift. It just will cost a little more.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Getting by with Just Breast Implants

Based on your pictures, if you just want larger breasts, implants only may be fine but your nipples may be in the "wrong" position - pointing down too much. You may look good in cloths but not so good out of cloths. One option is to get the implants and if you don't like the results, follow up with a breast lift. However, most likely, a breast lift with the implants would be a good option for you.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Augmentation and/or Lift

From your photographs, I think that you are going to need a lift to achieve a satisfactory appearance. In my opinion, you have too much sag and your nipples are positioned too low to get a satisfactory result with just an augmentation. In fact, you may look worse with just implants and no lift. I have seen many patients like you that get just an augmentation and end up looking worse and needing revisionary surgery to correct.

Donald Griffin, MD
Nashville Plastic Surgeon

Augmentation Alone Can Be Problem With Sagging Breasts

I think that if you have an augmentation without some sort of lift that you will be unhappyt with the result. With your degree of ptosis or sagging, an implant alone will likely worsen the sagging at best and could possibly result in "Snoopy" deformity. Many women whose nipples are below the inframammary crease, as your are, will later under a secondary lift and it may be better to have it done with the augmentation.

John Whitt, MD
Louisville Plastic Surgeon

Breast Augmentation: Do I need a lift, saline vs silicone?

The need for a breast lift in addition to an augmentation is one of the most common concerns and decisions with which patients struggle. Following pregnancy the breast will classically, deflate, drop, and skin will loosen. Although there are many different approaches to creating beautiful, sensual, symmetric breasts, many times an augmentation alone can distort the looks of the breast when performed without a lift in patients that needed both procedures. From... more