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Perky Look with Breast Lift Plus Implants - Without Going Bigger?

I am looking into getting a mastoplexy with implants. I am a large 36C and I do not want to go bigger but I want the fullness and perk!

Can I get a lift with implants and not go bigger? Even maybe a little smaller small C or big B cup? over the under or over the muscle? (5'3'' - 140lbs) thank you very much

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22 Doctor Answers | Asked by MakeMePerky in Québec, Canada

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Perkier breasts- lift or implant?

My strong preference in patients who want perkier breasts but are OK with their current size is to have a nicely done breast lift. Patients who need extra upper pole fullness may require an implant as well, but I usually try to talk patients out of this since natural breasts require much less maintenance than breasts with implants. However it is ultimately the choice of the patient.

Perky breasts usually equate to implanted and lifted breasts

The breast lift will increase the perkiness of the breast but as time goes on the upper portion of the breast will flatten and the bulk of the breast tissue will be in the lower portion of the breast. The appearance of the breast will be full and round more inferiorly. This is a natural ptosis and the nipple and areola (brown around the nipple) will be elevated and the appearance of the breast very attractive. The only way to assure the upper fullness of the breast over time is to add an... more

Breast lift with implants?

I think you may end up most pleased with the results of surgery after a breast lift and a “small” sub muscular breast. Having said that, the more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and... more

Perkier breasts with adding size

I have spoken with many women who have your same concerns: they want perkier breasts, but don't want to be bigger. And, quite simply, if you don't want to be bigger, don't want to have implants. Implants add volume to the breasts and, by necessity, will make your breasts bigger. So, if you are OK with your size, or even want to be a little smaller, you don't want implants. Now, many women have been lead to believe that you need to have implants if you want perkier breasts. And this is... more

Breast lift and implants

From your pictures, what you need is a mastopexy or lift. This needs to be a full lift with release of the breast tissue to allow it to move up and fill the superior part of the breast. Since you do not want to be any larger, and perhaps even a little smaller, you definitely do not want to have an implant, even a small one. No matter how small the implant, it will increase the size of your breasts.

Breast implants not necessary for lift

Anytime you add implannts to the breasts your breasts will get bigger, unless you are also removing breast tissue of equal or greater volume. If you do not want to go bigger you should not have implants. In fact it is much easier to do just a breast lift with no implants and the recurrence rate of drooping is less without the implants. You should be able to get the fullness you want without implants.

Perky without bigger breasts

Since you seem to focus on perkiness, define exactly what you mean by that. Is it s shape? Is it the location of the nipple? Is it the amount of hanging under the fold? Is it firmness of the breast tissues? I suspect that a mastopexy of sorts (there are many variations) would get you most of what you want. If not, a small implant might also help but this would make you bigger to some extent and you would have to accept all the risks of having the implant.

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast Lift Perkiness

Implants are going to increase your volume no matter what. So if you are wanting to maintain current breast size or even reduce your breast size, I would not recommend an implant. It is possible to get some fullness and perkiness to the breast with just a lift. It's just a matter of talking with your surgeon and having a realistic expectation of the outcome without implants.

Breast lift and implants without going bigger

Once you add an implant, no matter how small, your breasts are now bigger because you have added additional volume to your breasts. The implant will add upper pole fullness to your breasts, but you will definately have larger breasts. If you have a lift alone, you can re-position your breasts to a higher position, and maintain your current volume. If you want to be smaller than you currently are, you may want to consider a small breast reduction, either with or without implants. You... more

What breast lifts and breast implants do

Breast lift (mastopexy), properly done, repositions the breast higher up on the chest. It does not fill in the upper chest or give projection. It does not give "perkiness" in the sense of filled out or forward fill. It also makes the breast look bigger but doesn't actually make it bigger. The scars involved are also much more extensive than for an augmentation. Implants are like pillows -- volume and fill only. Implants fill in the upper pole of the breast and give it forward fill... more

Perkier breasts with implants and lift without increasing breast size

A lift or mastopexy can raise the position of the nipple and make the breast "perkier" if the glandular tissue is reshaped also. Implants can give a different look, but not without increasing your breast size. The only way to have breast implants without increasing your breast size is to do a simultaneous breast reduction, but I would not recommend that, it does not make sense to do an addition and a subtraction at the same time.

Mastopexy and implants

If you want to stay the same size, a straightforward mastopexy can be achieved without implants. If you want more volume, then an implant will be necessary.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Perky Breasts and no Implants

Based on your picture, if you want to have perky breasts a breast lift may be all that you need. Placing an implant and performing a lift will increase your size to some degree. Visit with a couple of plastic surgeons for a comprehensive breast exam so that you can cover all of your options. Good luck. Dr. ES

Mastopexy and Breast Implant

If you dont want to be bigger then having an implant is not exactly what you need. A lift will make your breast perkier and tighter. An implant will make you breast fuller and give you the upper pole fullness that is often lacking after your mastopexy settles. So if you really want an implant and want the upper pole fullness, then you would need a small reduction and place the amount removed as an implant. Good luck.

You don't need breast implants to look perky after breast lift.

Hi. Your breasts are a good size. I would avoid breast implants. You need a good internal vertical breast lift using the Lejour or Hall-Findlay techniques. Your own breast tissue is repositioned upward to give you upper fullness. There is no pulling on the skin, and you have a lollipop scar.

Perky look with breast lift plus implants - without going bigger

Your question is of concern. You ask to lift + small implant but not go bigger? HUH? You are confused, so from your photos I would recommend 2 operations. The first a full mastopexy to lift. If you are happy with the result than forget the second operation. If you want more "FIRMNESS" than to add an implant above or below the muscle is OK . In you, the risk of going too large with the combination of lift/implant is of concern. So slow things down and think about my scenario. From... more

Breast lift with small reduction and implants to maintain upper fullness.

To some degree what you will need is a small reduction AND a lift using the implant to replace or substitute for the excised tissue and achieve upper breast fullness without changing overall volume.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast lift + implants = perkier and bigger

Breast implants add volume which will make the breasts bigger. On the other hand, there is no method for breast lifting that produces lasting fullness in the upper portion of the breast without adding an implant. By going with a low-profile implant you can keep the size increase to a minimum and still get the fullness. There's just no way around it at the present time.

Combination of Breast lift and Breast implant

A breast lift will reposition your nipple and areaol to get you perkier but will also make your breast sze a little smaller and will not increase fullness in the upper part of the breast. If you want a likttle more upper breast fullness then what I use is a small implant, maybe 200 cc under the muscle. That is a small enough size that it will compensate for the decrease you will get from the lift, while adding fullness to the upper breast , and not increasing your overall breast cup size. more

Breast lift and size

If you like the size you are in a bra, just get a breast lift. If you add any size of an implant, you will be bigger. Ask a board-certified plastic surgeon in your area to show you some pictures of both a lift alone and a lift with implants to give you an idea of volume changes that occur. Good luck, /nsn.

Breast lift with implants

You need a full breast lift to elevate and reshape your breasts and reposition the nipple higher. A submuscular implant will add upper pole fullness. Make sure you go to an experienced plastic surgeon for this.

It is possible to have a more youthful shape and implants without necessarily being larger

Hi there- With modification of existing techniques, I have had great success achieving exactly what you are looking for. Find a surgeon with lots of experience in breast surgery and ask them to review prior cases with you of patients like yourself. If you see results you would find pleasing and otherwise like and trust the surgeon, the goals you describe should be attainable. For help finding a surgeon you like and can trust, please read this: