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I Am Getting Implants! Do I Need a Lift Too?

asked 9 months ago by BLSDXS2 in Rockwall, TX
Latest answer by Sugene Kim, MD
Question viewed 634 times
Tags: breast feeding, full, lift, perky

I am desiring the boobs I had in my 20's (47 now), before I breast fed my two children. I want full, perky boobs, but do NOT want them to look like grapefruits sitting on my chest. I've been researching and don't know if I need a lift in addition to implants. I have a consultation scheduled, but want to get mentally prepared if he says I need a lift. I really don't want the scars, but don't want my boobs to sag any more than they do now. Any and all imput would be greatly appreciated.

18 answers to I Am Getting Implants! Do I Need a Lift Too?

Yes, you will need a lift, too.

Hi, thanks for sharing your photos. If you are desiring fuller, perkier breasts that you had in your 20s, you will need implants and lift. Depending on how your breasts drape over the implants, you will also have lift where you will have scars around the areola (circumareolar mastopexy) or scars around the areola and one extending down to your crease line (circumvertical mastopexy). Whether you have augmentation and/or lift is based on what your goal is. Implants... more

Sugene Kim, MD
Houston Plastic Surgeon

Lift?

In my opinion, based on the photos you submitted, you will need a lift to give you the best, most natural looking result.

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Breast implants and lifts

I would agree with Drs. Epstein, Rand, and Whitt. Your breasts are not too low and can be augmented to a nice result but it is important to understand what breast implants do and don't do, what lifts do and don't do, and what nature does. Nature made your breasts sag somewhat and probably took away some tone and elasticity of your skin and tissues. Neither implants or lifts can reverse or totally restore that. Neither can keep your breasts from losing more tone or sagging... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Implants With or Without Lift

Yes, you need a lift. I would use moderate profile implants and a periareolar lift. The scar would end up only around the areola which hides really well. Many surgeons don't like this lift because they are concerned about areolar widening. However, by using a permanent stitch such as Gortex, which is soft and not palpable, this can be prevented. You won't end up with "grapefruits" on your chest; just pretty, appropriate breasts. more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

Breast augmentation with or without lift

I believe it's possible for you to have an augmentation without a lift depending on the size and the postop look you want. If you want to be larger and want a natural looking breast then I think it's possible for you to have an augmentation without a breast lift. The breast will look natural you will not have a Pam Anderson look. If you choose an implant to small the breast will still be low because you'll be more skin then breast volume. A high profile implant is... more

Wendell Perry, MD
Miami Plastic Surgeon

Augmentation with or without lift

I believe you would benefit most with a combination procedure with lift and small augmentation. This will give you the perky look you are seeking. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

Breast Augmentation, Lift Too?

Based on your photos, you are borderline as to whether you would need a lift as others have said. I think there is a good chance you would get a very attractive result with augmentation alone, but you would not have the full and perky breasts you had in your 20's. If that is important, then you will need a lift. You do have a fair amount of breast tissue, so I think a vertical technique breast lift (lollipop scar) would work out well.

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

www.breastsurgeryindianapolis.com

Breast augmentation vs. breast lifting

It is important to know that breast augmentation does not lift a saggy breast. It is also important to understand that the surgical goal of an augmentation is to center the implant behind your breast. If your breast gland sits lower than the implant is able to be positioned on your chest wall, then you need a breast lift. There are different types of lifts that are in part determined by the degree that your breast sags. It is difficult to predict from your pictures but you may be fine... more

Michael A. Epstein, MD
Chicago Plastic Surgeon

Breast augmentation candidate

Based on the photos you provided, you look like a good candidate for breast augmentation alone. You appear to have mild sagging. Ultimately, it depends on your overall goals. Breast implants will provide more volume and fullness and may provide a minimal lift of your nipple-areola complex. If you desire a more “lifted” look you may benefit from a limited lift, which involves an incision around the areola only. Make sure you consult with a board certified plastic surgeon with... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast lift will probably help you look better

From the appearance of your breasts in the pictures, I think that you have enough sagging of your breasts that you would benefit from a breast lift at the same time that you have implants. I believe that a periareolar or vertical ellipse mastopexy will be adequate for you. I don't think that you will need a full horizontal and vertical ellipse mastopexy. But, of course, the best advice would be from the plastic surgeon who examines you.

James Tang, MD
Houston Plastic Surgeon

I Am Getting Implants! Do I Need a Lift Too?

"I am desiring the boobs I had in my 20's (47 now), before I breast fed my two children." Your only option, then, is to see a magician rather than a surgeon. Assuming that there are few in your area, I would advise the following: see a competent, caring and experienced plastic surgeon who will set out the various choices. These include filling out your somewhat sagging breasts with an implant (absolutely possible using a dual-plane technique), vs. combining... more

Eric Pugash, MD
Vancouver Plastic Surgeon

www.vancouvercosmeticsurgery.ca

Do I Need A Lift with My Implants?

Without question you need a lift to achieve the results you desire. If you want to have bigger, non-perky breasts then you can do an augmentation alone, but "perky" "lifted" breasts will only come from a lift in combination with an implant. If anyone says they can do it without - have them show you a before and after of someone with your degree of ptosis and see if you like the results. Odds are you will choose the lift. Every patient is concerned about scaring before... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

www.marinaesthetics.com

To lift or not?

In your case, you are on the fence regarding a lift anatomically. One could certainly be justified IF you want the nipples to be in an elevated and youthful position and if you want better shape for the breast. But if volume and upper pole fullness is your main concern and having the least scars, just do the implants. Just realize that the shape won't be as good without the lift but you can always do the lift later.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lifts come with scars

It is possible to complete a breast augmentation, see how the breast fills out, and consider a lift later on. A lift can help you bring the nipple up onto the front of the breast but the scar cannot be avoided. To avoid the grapefruit look a lower profile breast implant may be a better choice. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Do I need a lift

I think that you have a fair amount of tissue now so I would not recommend too large of an implant. I think a lift will give u a more natural look

Rick Rosen, MD
Norwalk Plastic Surgeon

Get Augmentation Without Lift

I think that you can get a good result with an augmentation alone in the hands of an experienced surgeon. Although you do have a moderate amount of sagging, it appears that your nipples are above your inframammary crease and you have significant loss of volume in the upper poles of your breasts. Since you are concerned about the scars from a lift, I suggest that you have an augmentation without a lift. I think you are likely to be happy with the result. If not, you... more

John Whitt, MD
Louisville Plastic Surgeon

You probably need a mastopexy

Greetings, Looking at your photos, the nipple areola complex sits low on the breast mound. When an implant is placed, it will fill the upper portion of the breast, but won't raise the nipple and areola appreciably. Thus, even though you'll get improvement from implants alone, the breasts may still be a little saggy. A mastopexy can prevent that. Hope this helps! Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon

Lift will be dependent upon your goals

Thank you for forwarding your photographs. It sounds like your goals are more than reasonable. It appears that your areolas are lying a little low and lateral. Breast augmentation can sometimes provide your areola with a small lift, but there are anatomic restrictions. If your goal is simply to add some volume, a submuscular breast implant will suffice. However, if you want "perky" and aesthetically pleasing breasts, either a Benelli or a Vertical Mastopexy can re-elevate your... more