Possible to get lift and implants but maintain breast size?

If you have a DD breast cup, you probably only need a lift. However, a lift comes with incisions usually around the areola and often vertically from the areola to the fold. Sometimes even an anchor type incision.  Putting implants in is very unlikely  to be necessary. 

It is a mistake to reduce a DD breast  and place an artificial device.   Implants should be reserved  for patients with Small breasts  and not for patients  who need a lift and  already have substantial breast tissue . A well trained surgeon should be able to give... more

A lift will help your droopy breasts but will require some scars. You may or may not require an implant as well depending on the quality and quantity of your breast tissue. With a breast lift, your own breast tissue can be restructured to give the appearance of a fuller breast. The extent of scars for a... more

This is one of the most interesting  clinical situations that we face. A large saggy breast with flat upper pole. There are few ways to address this: 1. Perform a lift only, which will give some upper pole fullness and remove the excess skin. There has to be scars from this procedure. 2. Place an... more

The correct answer will depend among other things on the stage of your ptosis (sagging), but at your age and cup size a simple lift would most likely be enough to maintain and increase projection (perkiness). Unless you have severe involution (deflation) of the upper pole there is no need for an implant.... more

This is a common question from my patients that have larger, ptotic breasts. I routinely place a smaller implant (150 to 250 cc) in a small submuscular pocket to add fullness to the upper breast which does not significantly increase the bra cup size. This usually is combined with a breast lift procedure. The... more

At 36DD you already have large breasts. The sagging or ptosis is easily fixed with a mastopexy. Since you are young you have not lost upper breast fullness. So I would not recommend implants, there's really no indication for them.

What the public considers sagging (referred to as ptosis) and what we as plastic surgeons consider sagging can vary tremendously. We generally rate sagging based on the position of the nipple on the breast. The public rates sagging based on the breast position on the chest. This can have tremendous impact on... more

Tml524, In addition to opinions expressed here, you need the in-person evaluation of experienced board-certified plastic surgeons. In theory, if you add an implant you will increase your breast size. In theory, you could have partial removal of natural breast tissue and placement of an implant of equal volume,... more

I don't see how you can do all of this without the scars?  A periareola mastopexy would lead to the smallest scars, but is not useful in breasts that have significant drooping.  You should consider also that if you plan to have more children, as this will negativly affect your result.