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Breast Implants or Lift for More Youthful Look?

Iam considering having breast implants or a breast lift. I am 53 years old; small-framed with 36C breast size; weighing at 130 lbs. My breasts have lowered thru the years and I want a more youth look. I am not opposed to going a bit larger. Which is the best way to go?

Asked 29 months ago by Anna1956 in Lakeland, FL
Sort 13 expert answers by:
+1

Breast implants

The choice will really be between a breast lift or and augmentation with a lift. If you breast have sagged then skin will need to be removed with or without an implant.
David L. Abramson, MD
New York Plastic Surgeon
+1

Lift and/or augmentation

If you  need a lift, you need a lift.  Implants can help give more volume but will not raise the breasts significantly.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Breast lift or aug

It sounds as though you should have a breast lift for sure.  Your board - certified plastic surgeon can help you determine if you would also need/want a breast augmentation.
Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon
+1

A combination Breast Lift and Implant has a better result

Obviously, the exam and evaluation by a Board Certified Plastic Surgeon will get you the best answer. In general, a Lift combined with an augmentation will provide the best shape and long term results for Breast Surgery of the drooping and volume changed breast. The implant is placed behind the muscle and the lift redrapes the skin and breast tissue over that implant. A lift alone will provide improvement, but the lack of elasticity of the skin will allow droop sooner over time. The... more
David A. Dreyfuss, MD
Chicago Plastic Surgeon
+1

Breast Lift maybe with implants

Hello, It really depends. Without seeing you I would lean toward a lift without implants, but much of this is decided with a patient during consultation depending upon her examination and her preferences.
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Not either or situation

What needs to be evaluated is the relationship of the breast to the chest wall, and mostly, the position of the nipple to the crease where the underwire (inframammary fold). If the nipple falls below this point, you will likely need a lift, with or without implants. You need to be examined to get the best answers for you.
Scott E. Kasden, MD
Dallas Plastic Surgeon
+1

Youthful looking breasts.

Hi! 1) Without examining you, I would recommend a well performed breast lift without implants. With a C cup, you have enough volume, and breasts that are not too big age much better. 2) You probably need a lollipop scar. To get long term perky shape, you need an INTERNAL breast lift that does not rely on pulling the skin. Skin stretches, so one must not depend on skin tension for shape.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Breast Augmentation and Lift

With “lowered breasts” you generally need a Lift, or Mastopexy. To be “a bit larger” requires an Augmentation. Since the droop is secondary to the skin being larger than the amount of breast tissue you have, you can occasionally accomplish both goals with just the augmentation, if the size of the enlargement fills the skin envelope. Most frequently, however, the implant will not take up all the slack and you will need both. You can generally get an idea by examining... more
Robert T. Buchanan, MD
Highlands Plastic Surgeon
+1

Improving the look of your breasts

A lift and/or augmentation would be good options to address your concerns. A small implant can be placed in the breast if you want some added volume without the "augmented" look. A breast lift can be done in many different ways, depending on the severity of droopiness, or ptosis, of your breasts. A lift can be done around the areola only, around the areola with a small vertical incision, or around the areola with an anchor type incision. Talk with you plastic surgeon as to... more
Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon
+1

Breast lifts and implants for a youthful look

 Generally, if your breasts have sagged a bit with time, implants alone will make them larger but not younger looking.  If you need a lift because the nipples have descended, have one and look younger.  Sometimes an implant will help with the lift to get the best final look.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Breast implants or lift depends upon your anatomy

A lot depends on how much breast tissue you have to reposition. Many times, it takes a lift and implants to obtain the desired effect. At your consultation, this can be discussed with your plastic surgeon to determine which is best for you.
Scott Tucker, MD
Winston Salem Plastic Surgeon
+1

Breast lift or augmentation can give you a more youthful look!

If you are satsfied with the breast volume in a bra, then a breast lift will give you a more youthful breast, same volume and superior fullness. A short scar breast lift technique can give you this result. If you would want to be larger, then you would need an implant. A lift and augmentation can be done together and most surgeons do it that way. I personally like to do the lift first and do an augmentation later if it is still desired by the patient. I have more control on the final... more
George Marosan, MD
Bellevue Plastic Surgeon
+1

Augmentation mastopexy: combined lift and breast implant procedures

You may benefit from both. A lift alone will reposition the breast gland, remove excess skin, and rotate the nipple to a more youthful position. However, it will not be capable of acheiveing upp breast fullness. This can typcially be achieved with a implant. Therefore the two are considered mutually beneficial.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
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