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Breast Lift (With Implants?)

asked 11 months ago by rdtm in British Columbia
Latest answer by Tom J. Pousti, MD
Question viewed 484 times
Tags: volume loss, implant size, options, weight

My ultimate goal is to reduce excess & improve posture/reshape to a more youthful/sexy look. I find while breast lifts offer a huge improvement the before and afer photos that really jump out to me as being perfect are the ones with small implants. a nice mix between natural and fake. Would going from my current size to a large c or small d offer the ease on the posture and lower back I'm looking for? Are implants lighter or heavier than breast tissue? If these were yours what would you do?

12 answers to Breast Lift (With Implants?)

Breast Lift and Breast Implants

Hello Rtdm, I respectfully disaggree whole heartedly with my fellow surgeons. Based on the photograph I see, you have very large and very heavy breasts. The result of breast lift on your type of breast would yield a less than desirable appearance, with persistant sagging and a square shape to the bottom of the breast. The only thing that would change for the positive would be nipple position. The addition of an implant would only give... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Breast Lift or Breast Lift with implants?

It is difficult to comment specifically with only a single picture and no opportunity to do a proper consultation. However, you do have heavy looking breasts with ptosis (sagging below the fold) and a nipple and areola that is also low. Recommendations will be based on your goals and you do give a little info about these. To achieve less stress on your lower back and improve your posture - do not have breast surgery!. It may be hard to hear but your best solution will be to improve your... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Breast lift surgery

You have very mild nipple sagging (ptosis) and moderate sagging of the glandular portion of your breast. I would recommend a vertical breast lift with a small inferior reduction. A small (260 cc ish) implant would impart some upper pole volume to your breasts. In my experience, a breast lift cannot volumize the upper pole of the breast reliably. Only an implant or fat injections can do that. You're a great breast lift candidate, based on this one photo.

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast lift for you

You would be well served by a breast lift because of the ptosis you have. I would advise you to lose some weight first in order to get the best result. At your current weight, adding implants will potentially make you look heavier.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

You need a reduction (remove tissue from lower poles)+ implants

You are correct. The best option is a combination of a small reduction (same as a lift really) and implants. The reduction removes excess tissue from the lower pole and the implants restore upper pole fullness. You cannot get upper pole fullness without implants. That is why the combination photos you have seen look better. Depending on how much extra tissue is removed from the lower poles, you may have some relief of you back pain. Implants weigh about... more

Eric Swanson MD
Leawood Plastic Surgeon

www.swansoncenter.com

Breast lift with implants?

Thank you for the question and picture. I think the answer is somewhat complicated. 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 model of breast implant selected (saline/silicone and... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Lift Options

This is a very common situation after pregnancy, and also is seen in many patients who naturally have full and somewhat droopy breasts but who have never been pregnant. As you obviously are aware, a number of surgical options are available. A breast lift (mastopexy) will remove some skin and in most cases some breast tissue as well (in order to tighten and re-shape the breasts internally), so your lifted breasts will most likely seem somewhat smaller, even if you still fit a D... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Breast alone can give a nice shape

Based on your photos I would recommend only a breast lift (vertical mastopexy) without implants. You appear to have the necessary volume already with your own breast tissue. I would use this to reshape your breasts, giving more fullness and elevating the level of your nipple position. If you add breast implants to your already ample size, this may only worsen the degree of sagging and make you look too large. You could also have the breast lift first, then, about 6 months later have an... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Lejour Breast Reduction is best!

Never put an implant where your own breast tissue will do! You have enough tissue to yield a great shape. Technique will determine the ultimate perky shape of your breast.

Robert M. Freund, MD
New York Plastic Surgeon

www.breastenlargement.net

Breast reduction with implants to reduce the sagging and weight of the breast

In this situation, I have had the best results with a combination of breast reduction along with placement of modestly sized breast implants. Although it may seem like a contradiction, that is a great combination. The breast reduction will reduce the weight of the breast, and help your back and posture. Adding breast implants will fill out the upper portion of the breast and give you the "nice mix between natural and fake", and more importantly, produce the shape... more

James Nachbar, MD
Scottsdale Plastic Surgeon

Breast lift and implants

If you are looking to improve back pain symptoms and posture your best option would be a small to moderate breast reduction. This will provide both a lift, which will improve shape and a reduction in excess breast volume which will improve your overall symptoms. This could be accomplished with a vertical reduction avoiding a long horizontal scar. Although the addition of an implant would produce more upper breast fullness, it adds another element of potential complications if performed in... more