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Do I Need a Breast Lift or Would Implants Alone Look Okay?

asked 1 year ago by CharlieCharlie5555 in canada
Latest answer by Adam Hamawy, MD
Question viewed 433 times
Tags: age 18-24, droopy, combination, lifting

i previously asked a similar question but didnt provide a side view so.. im getting breast implants but my PC tells me it would look better with a breast lift around the areola. Im only 20 but my breasts are kind of droopy because of weight loss.. :( will the scars be very noticeable?? do i have ptosis or pseudoptosis?

17 answers to Do I Need a Breast Lift or Would Implants Alone Look Okay?

Breast Implants and Breast lifts

Hello CharlieCharlie5555, You stand at the crossroads and have a chance to do the right thing. I've reviewed the 14 previous expert answers and noted that a vast majority have answered augmentation alone. Many seemed to indicate that larger implants will help lift your breast. I believe that if you heed their advice you will be the next woman on this forum after your surgery asking why her result isn't what she thought it would be. My dear,... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

To lift or not to lift?

It seems that you have had a wide array of answers and I hope this has not confused you. Based on your photos, I would not recommend a breast lift for you. You do not look like you have ptosis or pseudoptosis. I recommend you seek a second opinion so that another plastic surgeon can examine you and give an opinion based on that exam. Hopefully, seeing someone else and talking to them face to face will allay you concerns.

Adam Hamawy, MD
Westchester Plastic Surgeon

Breast implant & uplift

No ptosis is apparent from the photographs. I would think implants alone should give pleasing results.

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

Augmentation and lift

It appears frrom the photos that an implant would be enough to augment the breasts with enough lift. Keep in mind that the shape of the breast is determined by volume of breast tissue and skin envelope. From the photo, the nipple areola complex is at or above the inframammary crease. It also seems the top of the left areola is slightly lower than the other side. Therefore an areolar approach for the breast augmentation may be the best incision to achieve symmetry. A crescent of skin can... more

Andrew Turk, MD
Naples Plastic Surgeon

No implants

I would suggestthat yor implants be placed in the subfascial position. (The larger implant the more lift) Using an internal transitional mesh support bra will give you an internal lift. I do not believe you willt need an external breast lift with extra scarring. This could always be done later if necessary

Hilton Becker, MD
Boca Raton Plastic Surgeon

Do I Need a Breast Lift or Would Implants Alone Look Okay?

Based on the photos alone i believe that implants alone will correct the problem. This will fill out the upper portion of your breasts with the least amount of scaring

Robert D. Goldstein, MD
Bronx Plastic Surgeon

Lift and implants?

Your photos are a good indication that you will only need implants. It is my experience after 40 years that your IF your NIPPLE is half way between your shoulder and elbow that you will have a beautiful result from and augmentation. Please consider doing GEL implants. I have been using these for a long while and know that they are superior to saline. Also, ask your surgeon how often he has to deal with capsular contracture. This is a technical problem and a... more

Robert B. Winslow, MD
Folsom Plastic Surgeon

Breast Lift with Augmentation

It is very difficult to tell from the picture presented whether you have any ptosis or even pseudoptosis. It appears as if you do not and would do quite well from just an implant. Since you are contemplating a preiareolar lift, an excellent alternative is to do the augmentation and look at the results. If you are unhappy, then a lift is a simple thing in the office later.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breasts implant surgery sometimes needs to have a simultaneous lifting to achieve optimal results

Patients often come to the office seeking breast augmentation when in fact they also need a lifting because of drooping. If the sagging is only minimal then just the breast augmentation may suffice. If there is a moderate degree of drooping then a lifting using a preiareolar incision( cut around the areola) becomes necessary to achieve the optimal result. If the drooping is more than just moderate other incisions may also be necessary. An experienced Board Certified plastic surgeron... more

George Lefkovits, MD
New York Plastic Surgeon

Breast implants with or without a lift

The decision about whether or not to have a breast lift depends on a couple of issues: 1. Nipple position as measured from the collar bone and sternal notch 2. Nipple size 3. Distance from infra-mammary fold to nipple 4. Position of the breast tissue relative to the nipple 5. Size of implant will have some influence. A larger implant may obviate the need for a lift in a select few cases. In your case, I do not see a clear indication... more

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon

No lift

The combination of the lift and implant has high rate of complication and reoperation. The most recent publication at the Plastic Surgery Journal the reoperation rate reported by the single surgeon was 40%. Your nipple postipn is not below the inframmamary fold and high profile implant will give you great result. The other option is to do the implants first with the understanding that you may need the lift later on. Most patients do not like the two stage surgery because of recover and cost.... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implants without a lift

My vote is for the implants alone. Your breast has a very typical shape, quite natural with the nipple above the breast fold. You are only 20, and why take a chance with a breast scar. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast Implants and/or Lift

I think you could be quite satisfied with implants alone, but it does depend on your goal size. If you are looking at smaller implants (think C cup), you may need a minor periareolar lift, but with bigger implants (D or higher) you may be satisfied with the shape with implants alone. Your surgeon should be able to help you with the rest. Best of luck with your surgery.

Derek Lou, MD
Houston Plastic Surgeon

Breast Lift/ Breast Implants

To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. 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... more

Michelle Copeland, MD, DMD
New York Plastic Surgeon

Do you need a breast lift?

Technically, your nipples would look "better" if they were higher with a periareolar lift but the need to do this is entirely up to you and your scar tolerance. You aren't too bad right now so you could consider doing the implants and seeing if they alone make you happy. You can always do the lift later if you want.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Augmentation With/Without Lift

You are close to borderline for breast ptosis, but your nipple appears to be slightly above your inframammary fold. I think you could have a nice result with an augmentation alone using an appropriate implant. You can always have a short scar lift performed later if you wish.

John Whitt, MD
Louisville Plastic Surgeon

Just Implants

Any doctor would have to do a physical examination in order to determine whether you need a lift or not. From your pictures, I think an implant will give you the fullness you lost. Any sort of lift does leave scars and everyone heals differently so its hard to predict scar fading.