I am 47 years old. I am currently a 34D size. My nipples are not completely displaced downward, only slightly. Can breast augmentation behind the muscle help fill in and lift without the breast lift procedure? If this can help, will it change my breast size?
Can Behind the Muscle Implants Help Lift Breasts?
Doctor Answers (21)
Achieving a breast lift with implants
Breast implants do not lift breasts.
They may appear to lift the breasts if the breasts are deflated, but they are actually only filling up the skin envelope.
If the distance from the sternal notch to the nipple is too long, and the nipple is at or below the lower fold of the breast, no type of implant will correct the drooping. It may camouflage it, by moving the breasts more onto the stomach, but patients who have LARGE saggy breasts and put an implant in to correct the problem usually end up with LARGER saggy breasts.
While it may seem like splitting hairs, these distinctions are very important for predicting the result of your surgery.
Breast lift with behind the muscle implants
A breast lift can only be accomlished with a breast lift. An augmentation in any position in a 47 year-old, 34 D patient will only produce a larger breast, which will soon sag even MORE. If the prosthesis is completely behind the muscle the breast will have a long shape or a "double bubble."
Implants don't lift the breast above or below the muscle
There is an urban myth among plastic surgeons that implants above the muscle can mildly lift the breasts. In my opinion, seeing many patients whom other doctors have tried this on, the look they get is more of a ball in sock rather than a nice lifted breast. Nobody believes behind the muscle implants will lift the breasts.
If you are a D cup, the weight of your breasts will cause you to need a lift if you want the best look. The implant will give you upper pole fullness.
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Breast Implants "Lift" Breasts
Thank you for the question.
Breast implants do not allow for breast lifting; however, for the right patient the breast implants may fill the skin envelope such that an "illusion" of breast lifting is achieved. Nevertheless, if a woman's breasts' anatomy is such that breast lifting is necessary, breast implants alone will not be sufficient.
I hope this helps.
Breast lift and implants
Implants behind the muscle or above the muscle increase the volume but do not lift the breasts. A formal lift is usually required.
I would like to see a picture. However, most women in my experience need a formal breast lift. Generally speaking, breast augmentation does not lift the breast or the nipple. Unfortunately, many women are still told that it does.
Breast Lift also needed for sagging breasts with low lying nipples
If things are as you describe, you need breast lift surgery added. It is, of course, difficult to say anything with certainty without having examined you first.
Augmentation alone will not correct sagging breasts
Breast augmentation in your particular situation will not help in fact it will make the condition worse. Not only will you not get any lift from the implant you will have an unusual shape to the breast as well. This is called a snoopy dog nose breast. The implant will be held in a high position and your breast will sag and droop off of the implant. Your best option is with a breast lift.
Correction of mild breast ptosis
What you describe is ptosis or sagging of the breasts that can be defined in a variety of ways: amount of breast tissue sitting below the inframammary fold, the length of the breast skin from the clavicle to the nipple, the relative position of the nipple on the breast mound, the direction the nipple appears to point relative to the breast. An implant behind the muscle will usually not help, and often exacerbates, each of these situations. Sometimes a certain type or size of implant on top of the muscle can partially or completely correct slight ptosis.
Will Breast Implants Lift my Breasts?
Breast implants are never a good substitute for patients who need a breast lift....
In the sub-glandular position (above the muscle), or with a well-done dual plane technique, an implant may camouflage breast sagging a bit, but possibly at the expense of longevity and the overall outcome...
If your goal for shape requires a re-shaping of your breasts, I would strongly recommend you find a surgeon who can perform a breast lift you would be happy with. When done well, breast lit scars usually fade remarkably well, particularly when scar management techniques are brought to bear.
It is never a good idea to choose an operation because it is the one you feel you can afford, because it is the one that fits into your schedule, or because it will give you the scar you think you want.. Rather, you should have the operation that is most likely to give you the OUTCOME you want.
The only thing worse than being unhappy with your appearance is spending a lot of money, having surgery, and STILL being unhappy with your appearance... This is much more likely to happen if you have the wrong procedure for the wrong reasons...
You can find some advice on finding a surgeon here:
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.