Does breast lift require augmentation afterwards?

I want to get a breast lift.  In my first consultation with a cosmetic surgeon he said my breast may lose 15% of volume because of skin removed. Does this mean most women get breast implants at the same time as a lift, or is this a path to greater complications?

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20 answers to “Does breast lift require...”

A: Breast implants may be needed with a breast lift to increase volume

Michael A. Jazayeri, MD

Whether you need an implant with a breast lift depends on the fullness of your breast and what you have in mind. If, pardon the expression, your breasts look like pancakes with nipples attached on them, then a breast lift will not provide any shape to the breast. To provide a perky and full looking breast... more

A: Staging procedures enables you to fine tune your result

Lavinia Chong, MD

Skin removal alone, should not cause a 15% reduction in breast volume.  In fact, the "tightening" of the skin brassiere should in fact improve the shape and position of the breast mound and nipple-areolar complex.  You should realize that any cosmetic procedure will work well for some time... more

A: Treatment for sagging breasts

Michelle Copeland, MD, DMD

 If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants.... more

A: 15% reduction in breast size with a lift is unlikely

Kevin Brenner, MD

It is true that you will lose a small amount of breast tissue with the average breast lift, but only about a "shot glass size" amount. A breast lift mostly reduces skin, not the breast tissue. If you are happy with the size of your breasts when you have a bra on, then you should not get implants;... more

A: Breast lift without implants

Otto Joseph Placik, MD

SEE VIDEO BELOW BY CLICKING MORE: Certainly the more you have done, the more risks you take. There seem to be regional differences in implant use with mastopexy (breast lift) Europeans tend to perform more lifts without implants whereas in the USA, most lifts utilize an implant. This... more

A: Breast Lift is NOT One Size Fits all

John P. Di Saia, MD

Hello, Not all patients have breast lifts with implants. Much of this depends upon how things are in your case and your preferences. Talk about these things with your chosen surgeon before surgery to lessen the chances that you might consider additional surgery later. 

A: Wow June

Kenneth R. Francis, MD

This question may have prompted the greatest number and most long winded answers in realself.com history.  Many of the answers are valid and complete, so I will not reiterate.  Just a word of advice, simultaneous breast lift and augmentation is one of the most difficult procedures in... more

A: You don't always need an implant.

David B. Reath, MD

When talking with women about breast lifts and the size of the breasts, the most important question is: are you happy with the size of your breasts now?  Sometimes this is a little difficult to figure out if you have a lot of sagging, so the other way to look at this is: are you happy with the size of... more

A: If you like your breast size- don't get implants

Robert M. Freund, MD

If you like your breast size then don't change it. There are many different types of breast lifts today; 1-skin only circumareolar breast lifts - a bad technique that flattens out the breast. The scars are not acceptable and the position of the nipples is rarely symmetrical. Most importantly, the durability... more

A: Breast Lift: Plus or Minus Implants

Sutton Graham II, MD

In our office we help many patients with that same decision, along with several others.  You are right to have questions. First, I would suggest that you may lose very little of your current volume if you choose breast lift (mastopexy) alone.  It should improve breast contour and projection.  It... more

Comments

DrFardad
12 posts
19 Nov 2008

It all depends on how much breast tisue you have as well as the placement of the breasts on your chest.  If you have lost the fullness on the upper part of the breasts and they are sagging with small amount of breast tissue present, then you will need the lift along with the implant placement.  However if you have moderate breast volume with just the nipples slightly lower than they should be, the lift may do well without having to place an implant.  It is true that you will loose some volume with the lifting and tightening of the skin.  yo also have to look at what you desire.  in other owrds do you want to do go larger since you are having the incisions nd the post operative down time.

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