Can Behind the Muscle Implants Help Lift Breasts?

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?

Doctor Answers (23)

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.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 98 reviews

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."

Barry H. Dolich, MD
Bronx Plastic Surgeon
5.0 out of 5 stars 1 review

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.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 51 reviews

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Breast implants add volume, a breast lift lifts breasts

Breast implants add volume, a breast lift lifts breasts.  It's that simple.  A large implant can fill in loose breast skin and create an appearance of a lift however most often when patients ask for a lift with implants only, they really need a lift.  Providing pictures is helpful as without them a proper answer cannot be given.

Martin Jugenburg, MD
Toronto Plastic Surgeon
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Breast lift with implants alone

95% of my patients who have been properly selected for this are satisfied with the amount of lift they achieve with implants. The right implants and technique can help you address mild to moderate sagging with breast augmentation alone, by taking into account the size you'd like to be and the amount of lift you require during the pre-surgery planning process.

These three things are considered to help give you the extra lift you require to make your breasts “perkier” without mastopexy:

1) During your breast augmentation, the breast implants will be placed directly under the breast tissue and above the chest wall muscle (in the sub-mammary position).

2) The best breast implants to use for a perkier result contain silicone gel that is more cohesive, such as the Allergan Inspira Truform 2 (formerly known as Soft-Touch gel). These implants are slightly firmer to maintain their shape better, but still retain their natural feel.

3) The shape of your breast implants should have more, rather than less, projection. Breast implants with a smaller base width will make your breasts project more forward from your chest wall and body, creating a more prominent contour. “Profile” is a synonym for projection, therefore look for high profile implants.

Generally speaking, larger breast implants can also help give a better lift, sometimes raising the position of the nipple by one or two centimetres.

Please see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 69 reviews

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.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

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.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast aug/lift


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.

Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon
4.0 out of 5 stars 9 reviews

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.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 24 reviews

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.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 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.