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Should I Get a Breast Augmentation with Lift or is Augmentation Enough?

asked 10 months ago by myday in North Miami Beach, FL
Latest answer by David Bogue, MD
Question viewed 893 times
Tags: age 25-34, 110-129 lbs, deflation, lift, perky, yo-yo dieting

I went to STRAX in South Florida and i have mixed feelings. I am 27 years old 120lbs and never had kids. They said i should get both a lift and augmentation but wasn't sure if that was just there way of getting me to buy more.

My boobs used to be perky but years of yo-yo dieting have given them this deflated look. Can i get away with just implants? or will my boobs have a strange shape? i don't mind that they aren't perfectly round and perky as i think those tend to look more fake.

18 answers to Should I Get a Breast Augmentation with Lift or is Augmentation Enough?

To Lift or not To Lift

The answer to your question depends upon what your overall goals are. The size and shape of implants (particularly high profile) are often enough to fill out the "deflated" breast skin. However, if the goal is for high, perky breasts, a lift may be a necessary component. Given the photos that you provided and your goals of not appearing too "fake", I believe it is unnecessary for you to need a lift. The position of your nipples currently are at the level of your... more

David Bogue, MD
Boca Raton Plastic Surgeon

Breast Aug vs. Breast Aug with Lift

Thank you for sending photos. It is hard to say exactly without examining you and doing measurements, seeing your skin quality etc. There are many schools of thought; staged procedures, going back to do the lift later, doing the lift first, etc. Lifts can be different, depending on how much skin you need to have taken away. Anchor, lollipop, or donut mastopexys are options. Sometimes we will book the case as an augmentation with lift and wind up doing less... more

Jeffrey Roth, MD
Las Vegas Plastic Surgeon

Breast augmentation and lift

Hello, I agree with most of the authors here that you probably need at least a little lift as well as augmentation, and it is surgeons' preference whether to stage them in two procedures, or attempt them simultaneously (as I often do), while accepting that there is a certain revision rate that exists by virture of the complexity of augmentation and mastopexy (lifting) when done together. You may get a satisfactory result with augmentation alone, assuming you are okay with the... more

Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon

Breast Lift or No Breast Lift?

It is really best to assess your situation in person and with some measurements. From the photos, it does look like you may benefit from a lift. There are different types of breast lifting (some with minimal scarring, some with more scarring) and the final decision should be made by you and your surgeon depending on the goals you want to achieve. I ask my patients to bring in photos of what they want to achieve after surgery and that helps me in my discussion with the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Should I Get a Breast Augmentation with Lift or is Augmentation Enough?

Based upon your photos I would recommend a donut lift + large (400 cc HP) implants. PLEASE seek more private practice PS opinions than just one from a clinic. If you need referrals to North Miami boarded PSs please call me. Examples are: DRs Storch, Rubenstein, Krau, Kane, Raffey, Kalman, Gibstein, Jacobs, Gingold, Freiman are a few private practice boarded PSs in North Miami. Best of luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Simultaneous Augmentation and Breast Lift

Looking at the photographs, it apperas to me that there is some ptosis. If augmentation alone is done the breasts will end up looking saggier. A full lift creates anchor shaped scars. A short scar lift which creates scars around the areola and vertcal scar will produce the moderate lift and makes the breasts look perkier.

Raj Chowdary, MD
Allentown Plastic Surgeon

Breast augmentation vs Breast augmentation/lift

Most patients that have sagging of their breasts in their early twenties before children will have worsening of the sagging with age and with childbearing. An implant alone will improve the superior fullness of the breasts but will not improve the ptosis, or drooping. Both the deep breast tissue and the skin are tightened during most breast lifts. This results in more superior fullness and 'perkiness' to the breasts, therefore a more youthful appearance. more

Elizabeth S. Harris, MD
San Antonio Plastic Surgeon

Implants with or without a lift

While the photos are helpful, it is hard to specifically tell based upon the angle of the photos and the position of your arms. You may very well need a small lift, but an exam would better determine that.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation of lift

From your photos it appears that an implant will fill you out and give a slight lift by helping your overall shape. Just realize that you will not be high and "perky" looking.You will have a more natural slope and shape. You may still want a breast lift in the future if the implant aloner does not give you what you are looking for.

David Nicholas Csikai, MD
Jacksonville Plastic Surgeon

Question about the need for a breast lift in addition to a breast enlargement

Thanks for the photos; however, their quality and resolution make it difficult to fully discern your breast position. Furthermore, your arms are elevated which artificially lifts your breasts. From what I can discern, it appears that your breasts are droopy enough that a lift would be warranted. Realize, that a consultation would be required to more accurately assess your situation and provide you with a precise recommendation. You should consider obtaining one or more additional... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Should I Get a Breast Augmentation with Lift or is Augmentation Enough?

Previous comments all very good and ultimate answer depends on physical exam. one thing to remember is that with a lift come more scars, personally I consider that is a a high price to pay up front and would consider you a good candidate for a staged approach, hoping you never need the second stage (lift). good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Augmentation With Or Without Lift

I agree with Dr. Fata that with your nipple position you can decide which procedure is best for you. If you are not overly concerned about your nipple position and can accept some sagging, you will probably be pleased with an augmentation alone. You can always have a secondary mastopexy or lift if you wish.

John Whitt, MD
Louisville Plastic Surgeon

Maybe

You do have a certain amount of ptosis, sagging of the breasts. You can get a nice result with implant only, however, your breasts will be fairly low on your chest. For best results with your breasts up on your chest in a more normal and yourthful position, you should have the lift along with implants. The lift alone will make you smaller. The implants will give you the size you want and will help hold your breasts up, making the lift last longer. more

E. Anthony Musarra II, MD
Atlanta Plastic Surgeon

Breast augmentation alone works well for mild sagging.

Hi. You describe your expectations very well. In that case, breast implants over the muscle will give you a nice result with less surgery and less scarring. But they have to be over the muscle to correct the sagging. And I would recommend moderate plus profile, smooth walled, silicone gel implants. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast lift procedures improve breast shape

If you are concerned about an overly 'round' or full look - you should consider a breast lift alone. The procedure is designed to reshape the breast without adding volume. For a 'natural' look with ideal nipple positioning and breast shaping, I would recommend a vertical breast lift. An implant can always be done at a later time if you desire more upper pole volume (which a breast lift does not provide).

Scott Sattler, MD
Bellevue Plastic Surgeon

Do I Need a Breast Lift With Breast Augmentation

The ideal position of the nipple is at or above the breast fold. Patients with nipples that are no more than 2 cm. (2.5 cm = 1 inch) below the breast fold and point outward (not down) seem to do quite well with breast augmentation alone. Based on your photos, it appears that you may fit into that category and would likely be happy with just a breast augmentation. However, the appearance will not be as full and perky as someone with no sagging. It comes down to a trade-off: perkier... more

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

www.breastsurgeryindianapolis.com

Breast Augmentation alone or with Lift?

It depends on what your expectations are? A breast lift will reposition the nipple/areola higher on the breast mound but will not provide much more in terms of volume or fullness. If you desire more fullness and want more volume, a breast augmentation would also be appropriate. From your photos , you appear to have a reasonable amount of breast volume but you must decide on the volume issue and discuss it with your plastic surgeon.

Stephen Delia, M.D.
Boston Plastic Surgeon

Breast lifting and implants

First, implants make you bigger and fuller, they don't lift your breasts at all. So, from your photos, you do need a full lift to elevate the nipple/areola and tighten the lax skin that has allowed your breats to sit too low. That might be all you need unless you want to be bigger with more upper pole fullness. For that, you would also need an implant. Good luck!