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Do I Need a Breast Lift with Implants or Augmentation Only? (photo)

asked 6 months ago by momofmany
Latest answer by J. Jason Wendel, MD
Question viewed 436 times
Tags: lift, recommendation, technique

Based on my pics do you think I need a donut/benelli lift with implants, or a lollipop lift with implants? Could I get away without a lift at all or would I end up just looking larger, but droopy?

20 answers to Do I Need a Breast Lift with Implants or Augmentation Only? (photo)

Recommendation for breast lift or implant alone

Thank you for your questions and the pictures. There is really no need to over-analyze this or get to cute and gimmicky. Based on your photos, I think you would be happy with a breast augmentation alone. If you do not like the size of your areola/nipples and want them smaller, than add an areolar reduction (donut) to the procedure. I hope this helps. Best of luck.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Breast Lift Necessary?

Thank you for the question and pictures. Although hard to know for sure without examining you and discussing your goals in detail, I think you will probably be better off with breast tissue alone ( without breast lifting). Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Augmentation with crescent lift

You indeed have a deficiency of skin in the lower pole of the breast. Lowering the fold would probably give you a double bubble appearance. A donut mastopexy would further decrease the skin of the lower pole, since by definition it is taking out skin circumferentially. I prefer to excise a crescent of skin above the areola to raise the nipple. This can be done for up to 2 cm. This limits the scarring to the periareola. I would insert the implant thru... more

Randy Proffitt, MD
Mobile Plastic Surgeon

Implant and lift choices in breast augmentation

Your photos show the right breast to be a bit bigger and lower than the left but I would agree with Dr. Stone and Dr. Stratis that you have pseudo ptosis (deficiency of the lower pole of the breast) rather than true or significant sagging (ptosis) that would require a lift instead of an augmentation or a lift with an augmentation. I would also agree with Dr. Stratis that a donut or any type of lift is not necessary and will add little to the result except periareolar scars. Breast... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast augmentation versus augmentation mastopexy, that is the question?

It is really impossible to determine whether you could benefit from a simulataneous augmentation mastopexy without examining you in person. You may want to also consider liposuction of the armpit area so that your breasts will have a better contour along their sides. The bottom line with mastopexy is that you will have visible scars and that is an important consideration.

Laurie Casas, MD
Chicago Plastic Surgeon

Breast lift or breast augmentation only

I would recommend a small sub-pectoral implant with a donut lift. The scars around the areolas can be almost invisble if sutured skillfully. In your case, however, it may be necessary to repeat the lift 4-6 months later. It is important not to be overly aggressive with donut lifts as the more skin is resected to lift the areola, the more 'pleating' you will have. This is not a pretty look. I will also caution you not to choose a large implant to 'take up the slack' as... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Breast lift or augmentation?

Implants alone would give you a good result if you wait to go larger. A donut lift with implants would make the nipple areola complex smaller and more even and give the breasts a more perky lift although the trade-off is scaring around the edge of the areola.

Donna Rich, MD
Houston Plastic Surgeon

Do I Need a Breast Lift with Implants or Augmentation Only? (photo)

Thanks for the posted photos. My opinion is a "composite augmentation/donut lift". That is Implants/donutlifting/fat gratfs.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast augmentation with or without lift

Choosing to do a lift with an implant is dependent on a number of different factors. A patient's expectations are the primary guide, however the anatomy is also very, very important. While I cannot provide any definitive advice without a face-to-face discussion and an examination, it appears from your photographs that an implant alone will provide an adequate improvement. This will likely improve not only the size and fullness of your breasts, but also the shape.... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

www.seplasticsurgery.com

Breast lift and/or implants?

It is interesting to read the opinions of the plastic surgeon responders because there is so much difference in opinion. Ultimately the decision is up to you! If you are interested in increasing volume, then an implant would be a great way to go. With a more generous size and projection goal, I think lift will be well accomplished with just an implant and no lift. You have some asymmetry, so different sized implants may be considered. If you are not interested in going larger, then a lift... more

Michele A. Shermak, MD
Baltimore Plastic Surgeon

www.drshermak.com

Lift or just implants

I personally would recommend a lift with implants. the incision would just be around your areola. I think you could avoid the lift with a too large implant, which I do not suggest as that result is not as natural and long lasting.

Rick Rosen, MD
Norwalk Plastic Surgeon

Breast augmentation together with breast lift

Your photos show that your nipples lie above the breast crease and so technically you do not need a lift. Also the inter-nipple and breast bone notch to nipple lines form an equilateral triangle which is what you want. However the breast tissue is not centered under the nipples. The best option is therefore likely surgery to open the lower half of the breast tissue so the breast tissue becomes centered under the nipples and then place a breast implants so they are centered under all of that.... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast lift and augmentation

You have a number of issues with your breast. the areolas are large low to the fold, point inward. you would do well with a periareola lift up and our to round out the breasts, make them less pointy and position the nipples better. a high profile implant can give you more projection to overcome any flattening of the lift

Jed H. Horowitz, MD
Orange County Plastic Surgeon

Breast lift

Like the other responders have said the right answer depends on your expectations. I have patients that looked a lot like you who were happy with just an augmentation. For maximum perkiness however, if that is your goal, I would recommend a lift. Most likely with just a scar going around the areola. You need to have a consultation with a Board Certified Plastic Surgeon and make sure you are clear as to what your expectations and desires are. Gary Hall,MD more

Gary Hall, MD
Kansas City Plastic Surgeon

www.hallmd.com

Depends on your expectations

The look of your breasts is a cumulative of the investment made into it. You have on your picture mild ptosis or drooping. You also have internal rotation and position of your nipple areolar complex. Implants alone will satisfy the volume concerns you have, but in my opinion a modest lift through a "donut" technique can elevate the nipple 1-2 cm, bring the nipples back to center of your breast mound. Your breast creases also appear that they need to be... more

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Implants or lift

You can almost certainly achieve the results you want with just implants. I would definitely not do a donut mastopexy, they flatten the breast and don't add much of anything to the final result except a scar.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Lift versus implant

If the nipple is at or above the inframammary crease an augmentation should be adequate if the nipple is below the inframammary fold a lift may be necessary.

Jay M. Pensler, MD
Chicago Plastic Surgeon

You can have either augmentation or lift/augmentation

Your breasts appear to be sagging because they are deflated and thus 'inflating' them with implants will create a nice shape and position. You can chose to have a small lift as well if you are looking for a 'perky' look but it is not necessary. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Breast lift with implants

From your photos it looks as if your nipples are above the level of the fold under your breast, the right areola is near the bottom of the breast and your breasts sit roughly 2-3 cm below the fold. Typically patients in a similar situation will be adequately treated with either a breast augmentation alone or an augmentation with a circumareolar (donut) mastopexy. Often it depends on the patient's individual desires. It is important that you discuss your unique situation... more

Kelly Gallego, MD
Sioux City Plastic Surgeon

Do I Need a Breast Lift with Implants or Augmentation Only

I would recommend a thorough discussion and consult with a Board Certified Plastic Surgeon, so you can be sure that you will be getting the information that you need to make an informed decision. You certainly can have implants without a lift. However, many things will determine what your final result will be- implant size, profile, etc. and whether you would be happy with the results. You should go over everything and see photos of what your results will likely be either... more