Breast Augmentation: Q&A

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I Would Like a BA Do I Need a Lift As Well?

Hi! I would like to have a BA 400cc's silicone mod+. Would you recommend doing a lift as well?? If so, which lift is better & would most benefit me? T-shape or Lollipop?? Thanks for answering!

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400-449cc silicone implant lift lollipop moderate plus profile options type

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24 Doctor Answers | Asked by infoseeker26 in NY

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Do I need a lift?

My guess is that you are unhappy with the shape of your breasts, not the size. They are pretty large considering your smallish frame. My STRONG recommendation is to just get a lift. I would do a vertical lift which would limit the scarring and also provide some nice upper pole fullness. Making your areolas substantiallly smaller will make your breasts look bigger. If you have implants, I think you will look top heavy. If you have a lift just... more

Do I need a lift?

The issue with an augmentation mastopexy is the issue of envelope and contents. The person who needs both is droopy out of a bra and in a bra would like to be larger. That said I feel you would benefit by a lift. My technique involves placing the implant first, sitting you up on the table even though you are asleep and at that point determining if I can accomplish our goal with a concentric, vertical or inverted T pattern. I would prepare you in advance for... more

Yes you will need a lift

For the optimal result a vertical lift plus breast augmentation would be recommended. I would not recommend a 400 cc implant. A large implant can have short term issues and long term issues. Dr. ES

Breast augmentation with lift

I think you would benefit from a lift, to get the nipples back where they should be. I also think the implant will help give you volume and some upper pole fullness. Just the implant will not address the nipple position adequately and I think will leave you disappointed.

Breast augmentation together with breast lift

The consensus is that yes you need a lift. I would add that if you put the implant under the muscle without a lift it will look very bad because the implant will be far away from all of the breast tissue. As it currently stands all of the breast tissue on the left is far downward from the muscle and on the right the vast majority is downward from the muscle. Due to your overall thinnes your breast implants should probably be placed under the muscle for a more natural look. Some doctors... more

Benelli breast lift with implants will work.

Hi. 1) Definitely need lift. 2) Together with breast implants, I think you only need a lift with a circular scar around the nipples (Benelli). This type of lift also makes your areolas smaller. 3) Lollipop lift might be an option too. T-scar not necessary for lift. Only for big breast reductions. 4) 400 cc's may be too big. Let plastic surgeon decide what implants best for you. Just make sure he or she REALLY understands the look you want (with... more

Breast augmentation may require a lift as well

It appears as though you may need a small lift if you get 400cc breast implants. The implants can be placed through the incisions made for the lift, and the lift is kept around the areola only (periareolar mastopexy.) However, the final decision is usually made after the implants are placed in the operating room. With this, the skin is "tailored" around the implants while you're asleep helping to determine the best shape for your breasts. Having said... more

Breast lift and augmentation

It is difficult to say from the photo what exactly would be best for you. A breast lift using a lollipoop or inverted T may be good. A mopr limited incision like a circumareola may work with an implant. Hard to say without an exam.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift combined with augmentation

Based on your photo- I would recommend a vertical breast lift in addition to an augmentation. I would avoid larger implants in these combination cases for a couple of reasons- the implant is really there to provide upper pole volume. You only need a small implant to achieve this. You've got plenty of your own breast tissues, so don't need a big implant to achieve an great result. Your issue is that most of your breast volume is in the lower pole of your breast. The... more

Do I need a breast lift vs implants alone?

You almost certainly need a breast lift with a "lollipop" type approach. Currently, your breast are ptotic and the nipple are below the breast crease. Thus, once the implants are placed beneath the muscle, the implants will sit higher on the chest with the implant "falling off the implant." There will be no balance and this will not produce an attractive result - your primary goal. Also, your breast will continue to age and this will leave... more

Breast Augmentation and lift

Although there are many options for you it is clear from your question that you are interested in increasing your breast volume. This alone will not give you the results you would be happy with. A breast augmentation will increase the volume of the breast but will not raise the nipple position. In fact it will make the nipple areolar complex even larger. The benefit of the lift at the same time is to place the nipple at a more youthful position but also decrease the size of... more

Implants and a lift

Your nipples appear to be below the inframammary line, thus your ptosis is grade 2 and you most likely will benefit from implants plus a lift. The surgeon will discuss the different lift options with you.

You will need lift

The picture shows your nipple below the infra mammary fold. You will need full breast lift. You may not need the implants. If you are happy with the size of your breast in the bra, you do not need implant. The combination of the breast lift and implant at the same time is a high risk procedure,especially in a patient that has large breast already.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Yes you need a lift

Very frequently patients will have droopy breast and need more volume. You have both of these issue. The best results are with an augmentation for volume and a lift to reshape and position the nipple. i would suggest a one stage procedure but only in the best of hands. It is a technically challanging for some but not for surgeons who do many of these ....go to a Board Certified Plastic Surgeon. Good luck, Andrew Cohen, M.D. FACS

Breast Augmentation - Do I need a lift as well?

To achieve the best result, you likely will need a mastopexy / breast lift in addition to the breast implants. If you are only looking for rejuvenation of your breasts, you could also consider a lift only with redistribution of your breast tissue. You should talk about all these issues with your surgeon. Please make sure that you see a board certified plastic surgeon since augmentation mastopexy is a complex operation. Good luck.

Breast lift looks necessary for you

Based on your photos, it appears that you do need a lift. I would peform a vertical mastopexy (lollipop). I'm not sure how large you hope to be after your augmentation, but a 400 cc implant, I think, would make you quite large (DD or more). Please be sure to see a surgeon who is Certified by the American Board of Plastic Surgery, and discuss your concerns.

Carmen Kavali, MD

11 reviews

Atlanta Plastic Surgeon

Breast Lift or Not

Meaurements would bre very helpful but based on the limited information available, I would likely recommend a vertical mastopexy.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Lift and implants

Thanks for posting your photos. I think, based on the frontal view alone, you would benefit from both a lift and augmentation. Of the two, the lift component is more important in giving you a satisfactory result. An augmentation alone would likely result in a high-riding appearance to the implant in comparison to your normal breast tissue and nipple position, or result in the appearance of the breasts being larger but just as saggy, depending on the technique and position of the implant... more

Lift yes....type depends

Hello, You would benefit by a lift, but the type depends upon how you would rate the number of incisions versus the degree of correction. More incisions mean more correction. I would do at least a Benelli, but lean towards a vertical/lollipop or a Full. Best Regards, John Di Saia MD

BA and Lift

Yes either full lift or lollipop lift plus 350 to 400 cc implant. As you see MANY have responded to your question. Thanks for the photo posted

Breast lift to improve nipple position, breast augmentation for volume

Breast droop or ptosis is an indication of the position of the nipple relative to the fold under the breast. If the center of the nipple is at level of the fold, the implant will tend to push it up front and center on the breast. If not, the implant will tend to push the nipple lower and give the breast a very 'mature' shape. Your picture is slightly angled upward, though in a mirror place your finger in the fold under the breast while standing straight. If the nipple (center) is... more

Breast Lift with Augmentation

It appears from your photo that you would benefit from a mastopexy at the time of your augmentation. I think this could be done with a vertical rather than a T-shaped scar. This would also provide an opportunity to reduce the size of your nipple-areolar complex which appears rather large.

Breast Lift

You appear to have Grade 3 breast ptosis (droopiness), and implants alone will not correct the problem. Implants will only create upper pole fullness, and I would therefore suggest that you have a simultaneous lift

Breast Lift with Augmentation (Augmentation Mastopexy)

Regarding: "I Would Like a BA Do I Need a Lift As Well? Hi! I would like to have a BA 400cc's silicone mod+. Would you recommend doing a lift as well?? If so, which lift is better & would most benefit me? T-shape or Lollipop?? Thanks for answering!" No one N E E D S Cosmetic surgery. But since most of us are imperfect (in so many ways...), most of us could BENEFIT from Cosmetic Surgery. You have sagging, somewhat constricted... more