Breast Implants Without Going Up in Size?

The majority of patients that desire more fullness because their breasts sag a bit, really need a lift.  An implant usually does not do the trick.

I do not think you would be happy with the implants alone but you may benefit from the use of fat grafting. see video

Hello, Breast implant placement alone does not lift anything. Saggy breasts treated with implants alone become larger droopy breasts in little time. Look into a good breast lift.

Unfortunately, onec can't pick and choose on this. The breast implants will give a moderate lift, but if the nipple is below where the underwire is, you will get a double effect- the implant profile, and the breast tissue flagging off of the implant. Also, you need to use an appropriate sized implant to get a good result, and with a 36" chest, you will need a larger size implant. The scars usually fade and look quite nice when healed. sek

Hi! 1) Don't do it! You will regret it, i promise you. Implants have no role for you. I have been there. Small implants wil do nothing, and since you are already a D cup, large implants will create a deformity. 2) In New York City, I must see a woman with your situation about once a month. If I cannot convince the patient to have a good internal breast lift with a lollipop scar, I turn her away. 3) And sometimes they come back months later, miserable, having had implants... more

Breast implants will always add breast volume. Sometimes volume can be used to achieve a pseudo-lift. That's when a breast implant is used to fill loose skin, usually after pregnancy or weight loss. It works well when the nipple-areolar complex is above the inframammary fold (the crease below the breast). A breast lift is needed when the breast volume is sufficient but there is an excess of skin with a low nipple position. There are several options for addressing the excess skin. Generally... more

The simple answer to your question is “NO.” It is impossible to use any implant without increasing the breast size by the size of the implant. Also, it usually requires a relatively large implant to really fill the breast skin envelope in order to obtain any real lift. If you want a lift without an increase in size, you will have toe accept the scars, as there are no other methods available. Breast Lift scars, if done well, can disappear and do quite well.

Sometimes it isn't an either/or situation. When breasts sag, there is often a component of volume loss that contributes to it and this can only be corrected by adding volume back with implants. The implants do not have to be large but if you want some fullness to be maintained in the upper portion of the breast then you should consider it. On the other hand, implants without a lift for sagging isn't always a good long-term option either. Most of the time (but not always) a combination of... more

Any time you add an implant you are going to go up in size. If sagging is the main issue the only way to deal with this is a lift. While the scar are initially a problem they typically settle down over time, especially with the new short scar lifts. Using an implant to affect a lift will definitly increase your size. Good Luck!

I rarely recommend going through the augmentation procedure for less than a full cup size increase. All of Plastic Surgery is a balance between what you stand to gain and what you are risking in terms of complications. Obviously you want this ratio as favorable as possible. Although the augmentation procedure is very safe, when you apply the risk : reward ratio to it, it is unwise.

If you are pleased with your breast volume, then you need a lift to correct the sagging. The scarring is a major concern in 100% of my breast lift consultations. That is one of the reasons I changed my breast lift technique to a short scar lift 10 years ago. For further info you can visit my web site: www.bellevueplasticsurgeons.com.

Hi, In general, with extra skin and a nipple locaated below the inframammary fold, a breast lift would provide the best outcome. To try to force the issue with an implant would require a larger not smaller implant as the small implant would simply get lost in the backround with extra tissue overlying. So, typically, implants alone cannot provide the best outcome in the setting of true mammary ptosis (sag). This is of course variable and dependent upon the individual patient, thus without... more

Hi Bepositive9999. I cannot answer this definitively without seeing pictures. In general, I am not in favor of using implants to correct sagging. This is especially true in cases like yours. You are a 36D and presumably happy with your size. You are unhappy with the sagging and so the sagging has to be addressed directly with a breast lift. You have to choose the treatment that will address the problem. That being said, if the degree of sagging is VERY small, an implant can help... more