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.

Doctor Answers 29

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.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

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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
5.0 out of 5 stars 103 reviews

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 front
  • if your nipple is above the skin crease you have no ptosis
  • if your nipple is below the crease then you do have ptosis

Mark Preston, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 12 reviews

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 could be corrected with a small Benelli lift through which the prosthesis could be placed. If you do not mind the slight asymmetry, then augmentation alone would be just fine.

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 that they have the cute scar they wanted when their breasts are funny looking or ugly...

My very strong opinion is that the shape of the breasts is the very most important thing... In some patients achieving a lovely shape requires breast lift scars- but these scars don't have to be ugly or conspicuous. 

Find a good surgeon and follow their advice.

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
Claremont Plastic Surgeon
5.0 out of 5 stars 29 reviews

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
5.0 out of 5 stars 50 reviews

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, FACS
New York Plastic Surgeon
5.0 out of 5 stars 35 reviews

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
4.5 out of 5 stars 18 reviews

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) side of the breast, but there is the appearance on the lateral (side) view that the nipple is in a position that would permit a breast augmentation to be performed, without the need for a breast lift. The breasts have a conical shape and the amount of skin/sag appears to be more pronounced on the left. The left nipple also appears to be positioned more lateral (outward, toward the outer chest and more in line with the shoulder).

Of course, if you were present, breast measurements would be taken at the time of the consultation to confirm the visual impressions. In this way, I would explain to you, in measurable and anatomical terms, your candidacy for a breast augmentation vs. a breast lift.

If a patient wants a "perky" appearance to the breasts, and has low nipples (south of the equator), then the patient needs to know that a breast lift will help to decrease the amount of skin and give the breast augmentation a lift or perky appearance. If the patient does not want a breast lift, being opposed to more scars on the breast, then the patient needs to know that with a breast augmentation alone, the breasts may look full but have an appearance of being more settled, even more natural and pendulous.

My impression for the photographs, is that this is your case, that there is some degree of excess skin and following a breast augmentation (without a lift), the breasts will look good, as the implants will create a fuller, yet, very natural and perhaps, somewhat pendulous appearance. If this type of breast shape will make you happy and satisfied, then the operation will be successful!

I would need to confirm by breast measurements, but from the photos, I feel, that in your case, the implants, preferably smooth silicone gel implants, will look good if placed on top of the pectoralis major muscle. Most importantly, the submammary (on top of the muscle, under the breast) location will also allow more control of the breast shape and permit transformation of a conical (triangular) breast shape to a round breast shape.

This will be a great change. I think that this would give the best outcome, short and long term, for your particular anatomy

Christine A. Petti, MD
Los Angeles Plastic Surgeon
4.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.