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I Want a Breast Augmentation and Not a Vertical Breast Lift.

asked 1 year ago by Dallas3315
Latest answer by Scott Sattler, MD
Question viewed 844 times
Tags: incision, lollipop, scar, vertical lift

Is this possible for me? I would rather have a less perfect breast than bad scarring from a lollipop incision.

28 answers to I Want a Breast Augmentation and Not a Vertical Breast Lift.

+3

Breast Augmentation with Lift

Hello and thank you for the question. From examination of your photographs, you would achieve excellent results with a breast augmentation in combination with a modified Benelli breast lift. This would give you the needed "lift" from your minimal ptosis while limiting the scar to the peri-areolar area. I recommend following up with a board certified plastic surgeon in your region to discuss these options.  Warmest Regards, Glenn Vallecillos, M.D., F.A.C.S.... more
Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

+3

Breast augmentation

Your pictures show a constricted pole and breast asymmetry- setups for a bad result from implants alone. While you might be willing to take the chance of having only an implant and a double bubble issue or an implant that was positioned too high because of a tight lower pole, your plastic surgeon may not be.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+3

How to measure your breast droop

Yes it is possible. Your photos show less the 1 cm of ptosis (droop) and so you should respond well to breast augmentation. Patients who have 2 cm or more  ptosis in general will need a breast lift in order to have implants placed in a sub muscular position. You can measure your own degree of ptosis at home with a short ruler. Stand upright place a finger in the skin crease under the breast feel the finger through the breast and transfer that measurement to the... more
Mark Preston, MD

Columbus Plastic Surgeon
+2

Can I have a breast augmentation *without* a vertical lift?

You are certainly a reasonable candidate for breast augmentation without a vertical mastopexy. I would utilize a dual plain approach which would rotate the inferior pole of the breast upward a bit. The dual plain approach would also make it easier to obtain better symmetry with the medial portion of the breast. There is a slight asymmetry with regards to the position of the nipple areola complexes (left is a bit lower) and depending upon the degree of perfection you wish to achieve, this... more
William F. DeLuca Jr, MD

Albany Plastic Surgeon

www.delucaplasticsurgery.com

+2

Breast Augmentation with or without Lift

Hi there- Without a formal examination, I would feel irresponsible advising you in this matter... There are many nuances involved in these decisions, and I would want to take measurements and test your skin before offering you advice... Having said that, I can confidently tell you that by far the most common mistake I see women make in your situation is choosing a procedure based on the scar they want (or don't want). It is little consolation to them a few months after surgery tha more
Armando Soto, MD

Orlando Plastic Surgeon
+2

You don't look like you absolutely need a breast lift

Based on your photographs it looks like your nipples are high enough to do well with a simple breast augmentation without a breast lift.  After the augmentation once the implants settle and the swelling is gone if it looks like you need a lift it would only require a small amount of lifting.  This can probably be done under local anesthesia by just lifting around the areola. 
Dev Wali, MD

Los Angeles Plastic Surgeon
+2

Staging Breast Augmentation with Lift

I believe you will get a great result by performing a circumareolar mastopexy with augmentation.   This lift is performed by making a scar only around your areola, thus avoiding the vertical scar.   After the implants settle, you can decide if you desire a more aggressive lift in a second stage procedure.
Paul S. Gill, MD

Houston Plastic Surgeon

www.drpaulgill.com

+2

Breast Augmentation

You look like you are a good candidate for a breast augmentation. If after the surgery you are unhappy with the results and you need a lift this could be done using the periareolar techinque instead of the vertical technique. Best of luck.
Dana Khuthaila, MD

New York Plastic Surgeon

www.drkhuthaila.com

+2

Breast augmentation and no vetical lift?

It looks like you are a good candidate for a breast augmentation, but you may need a lift which can possible be done by just raising the areola in a circumareola fashion.  I do this all the time.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Breast augmentation is possible without a lift, but be realistic about the outcome

Breast augmentation is possible without a lift, but be realistic about the outcome. The most accurate evaluation of your anatomy, in my opinion, would result from a thorough examination and breast measurements, to discuss the position of the nipple (the “north”, ”south” or “equator” location of the nipple) in relation to the breast skin brassiere and chest in general. From the photographs, it appears that the nipple position is on the lower (southern)... more
Christine A. Petti, MD

Torrance Plastic Surgeon
+2

Do I have to Have A Lift?

The art of plastic surgery is at the heart of your question. Unlike an inflamed appendix or a broken arm, there is a lot more give and take with treatments in cosmetic plastic surgery. Certainly there are times when certain operations are just wrong for a particular patient, but for the most part there is always a compromise. The saying goes that the situation of a happy patient and an unhappy surgeon is much better than a happy surgeon but an unhappy patient. Philosophy aside, based on... more
Babak Dadvand, MD

Los Angeles Plastic Surgeon
+2

Breast Augmentation without breast lift

It is certainly possible to have augmentation without lift.  You may get enough lift from the implants alone, partly depending on what size implants you and your surgeon choose.  Your breasts are transversely oriented, and although your nipples are very close to the level of the inframammary creases, the creases (and the entire breast) seem low on your chest, a problem that is not improved by traditional breast lift techniques anyway.  I would consider Allergan 363 style... more
Steve Laverson, MD

San Diego Plastic Surgeon
+2

Can I get a Decent looking result with ONLY a Breast Augmentation but without a Breast Lift

Regarding: "I Want a Breast Augmentation and Not a Vertical Breast Lift. Is this possible for me? I would rather have a less perfect breast than bad scarring from a lollipop incision." I agree with Dr. Placik. You have the right to have the surgery of YOUR choice as long as you understand that by not having a proper breast lift you will have a substandard result (fuller but sagging breasts) which would make a subsequent revision a bit more complicated. Under no circumstances... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Which is worse, lift scar or saggy breasts?

In my opinion, implants would not provide you with sufficent lift and could resutl in the appearance of a larger more "saggy" breast.  You have to weigh it out and figure out which is worse, a well maintained scar or saggy breasts after augmentation.   see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+2

Breast augmentation without a lift

It is your right to choose not to have a lift as long as you understand the consequences and compromises.   Your pictures show a need for a lift but maybe you can handle doing a periareolar lift as it will help a little and the scar isn't bad at all.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Breast augmentation results relate to individual anatomy

You are 'low breasted' with a vertically short breast footprint. No matter the type of implant chosen, you will likely have a low nipple relative to the breast mound. I think a vertical lift would give you an optimal result. Why not get an augmentation and see how you like the look. If you feel you still look droopy, then get the lift done a few months later.
Scott Sattler, MD

Bellevue Plastic Surgeon
+1

Based on your picture ,augmentaion without lift will work

Your nipples are low but not below the inframammary fold. I would suggest augmentation and if you are not happy with the nipple position,lift 3 months later .
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breast Augmentation alone vs lift

A breast augmentation, in your case, will give you a nice result.  It appears you have a slight asymmetry, with the left nipple being lower than the right side.  Your left breast also has more skin and sagginess than the right side.  A lift would help address the asymmetry as well as lift the breast and nipples to a higher position.  I understand your apprehensions regarding the scars.  Many patients want to avoid long scars on their breast (understandably)... more
LaDawn Talbott, MD

Reno Plastic Surgeon
+1

Augmentation without vertical mastopexy

Although one cannot give a consultation from a picture alone, it seems to me that you could have an augmentation without a mastopexy, you can always have a lift later if you are unhappy with the result, but I think that with the right implant you would do quite well. Good Luck!
Johan E. Brahme, MD

San Diego Plastic Surgeon
+1

Breast Augmentation Without Lift

It is certainly possible to have an augmentation without a lift if that is your desire and are willing to accept the results.  It is difficult for me to assess the degree of ptosis which you have from your photos.  The key is the nipple location.  If your nipple is not lower than your inframammary crease, it is possible to achieve good results with augmentation alone.
John Whitt, MD

Louisville Plastic Surgeon
+1

Want a Breast Augmentation and Not a Vertical Breast Lift.

Many opinions but it is your decision. I understand your position. But only a large implant 500 to 600 cc should be used. Also your nipples will point down. Regards from MIAMI Dr. Darryl J. Blinski
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast implants alone, follow your instinct

Sometimes a breast lift may compliment breast augmentation very well, but the scar can be an issue to hold you back. If you are uncertain augmentation alone will be just fine. The nipple will push up a bit and you can have a nice augmentation. There is nothing wrong with a small lift later on if you change your mind. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

Implants Alone will be Just Fine for Your Breasts.

Breast implants will refil your breasts and lift them slightly. The shape won't be perfect since the nipples will still be low on the breast mound, but, of course, the scars from augmentation will be much, much, less visible than the scars from a lift. I do a lot of women like you who choose implants alone when their breasts are ptotic (sagging, deflated), and they are happy to have some improvement without the scars of a lift.
G. Gregory Gallico III, MD

Boston Plastic Surgeon
+1

Breast augmentation together with breast lift

You say you want augmentation but what you really want are fuller breasts that look natural. The question is how to achieve that and the answer is that depends on what you started with. A preoperative assessment that includes measurements and skin laxity examination is required to know where you are starting. You cannot do that from a photo. We can say from the front view that the breasts are deflated and so droop downward with slightly more breast tissue on the right than the left. On... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Breast augmentation with a lift sometimes necessary

To begin with, none of us can give you a definitive answer based only on photos, though they are helpful. It appears that you haveslightly  tubular breasts so some type lift might be needed. Philosophically, although you say you would be happy with a less than perfect breast without scars, plastic surgeons do not like to do operations where they know the results will not be as good as they could be. Keep an open mind and decide based on advice from someone who has examined you and... more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Implants and lift

I understand your concern about adding a scar to the breast but implants alone can not raise nipple position significantly. In your consultation express your concerns about the scarring. Look at the scars in post operative photos of the board certified plastic surgeon you are considering having your surgery with. You can chose to have an augmentation alone but you must understand your nipple position will remain low. It will not be over the most projecting part of the implant. This... more
Robert W. Kessler, MD

Orange County Plastic Surgeon
+1

Augmentation without vertical lift

You have glandular ptosis that can be corrected to a degree with augmentation but the choice of implant dimension and style, as well as technique, is critical. Describe to your surgeon what will make you happy and go for there.
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Don't want a breast lift with implants

The determination of needing a breast lift at the same time depends on the quality of your skin, size of implant, your breast measurements and to some degree, your own personal decision based on a well informed discussion with your plastic surgeon. In your case, one option is to have the breast implants placed and wait a year. Then decide if you want (or need) a lift.
Karol A. Gutowski, MD

Chicago Plastic Surgeon

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