Do I Need a Breast Lift Along with my Breast Augmentation? (photo) Doctor Answers, Tips
Breast Augmentation: Q&A
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Do I Need a Breast Lift Along with my Breast Augmentation? (photo)

I am a 30yo mother of two. I've decided on a breast augmentation due to the loss of fullness of my breasts after pregnancies and lengthy breast feeding. I am currently a 34 D. I can not decide if I need a lift along with my breast augmentation. I am hoping to be a full, large 34DD. Does it look as if I will need a lift?

20 Doctor Answers | Asked by chatt mom in Chattanooga, TN
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Implants Without a Lift Can Cause Additional Sagging

In short, yes, it appears from your photo that you would be a good candidate for a breast lift with implants to address breast asymmetry in addition to ptosis, or drooping of the breast. It's normal for the breasts to sag as you grow older. The breasts, like the rest of the body, tend to sag with age. The sagging can be exacerbated by childbirth, genetics, stretch marks on the breast skin, weight gain, and weight loss. Implants alone would likely cause additional sagging... more
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LIft and augmentation?

It is very possible that you could benefit from a lift and an implant to achieve the cup size you desire and the shape. There is definite asymmetry and the left one looks lower. An exam in person would be essential to make an accurate assessment.
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Is a lift needed?

It is difficult to give any recommendations without a physical exam. However, based on your photo, it appears your have some asymmetry with respect to your nipple position. To correct this asymmetry and to improve on your mild/moderate sagging, I think a lift would be needed to improve your augmentation results. Please visit with a board certified PS in your area. Best of luck. Dr. Basu Houston, TX

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Augmentation With/Without Lift

From your photo I feel that you do need a breast lift. Although a lateral view is not available, it looks as if your nipples are close to, if not below, your inframammary fold. Also since you only want to increase by one cup size, I do not think you can achieve the upper pole fullness you want with an implant alone.
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The weight of implants can make sag worse without a lift.

Thank you for your question and photo. From the picture, it would appear that a lift would be beneficial to correct asymmetry and make your breasts perky. If you just get implants,they will drop into the breast skin envelop, and the weight of the implants will cause your breasts to sag even more. A breast lift is not mandatory but is probably going to give you the best long term result. I hope this helps.
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Do I Need a Breast Lift Along with my Breast Augmentation?

Although it is impossible to accurately tell where your nipple is and what degree of breast overhang you have in relation to the inframammary crease without examining you and making measurements, it does appear that your breasts are somewhat sagging, especially on the left side. Since implants do not lift breasts, they just fill them out where they are, the significant asymmetry between your breasts would persist. If you do not want your left breast to continue to hang down far... more
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Lift with augmentation

I think you would benefit from a lift to improve your shape and symmetry. Make sure you see a board certified surgeon.
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Yes

Based on your expressed desires and the photograph, the implants will give you the volume (size) you want and the lift will give you the shape and symmetry
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Breast augmentation with lift

I believe that you do need both the lift and the augmentation. The combined operation should also correct the asymmetry between the breasts.
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Breast lift with augmentation?

Not only do your breasts appear ptotic(saggy) in the photo you sent, but they also seem to be at different levels. Breast lift could correct both of these problems, and along with an implant could give you the look you desire.
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To lift or not to lift

My answer has to be quailfied in that there is only one view of your breasts and I have not examined you. My hunch is that the lift would help you achieve better symmetry and a more youthful breast shape at the cost of additional scar. If you are scar adverse then consider staging the procedures.
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Breast Augmentation and Lift

Hello, Although a physical exam would give me a definitive answer, I think the photograph is sufficient enough to tell me that a lift is important to give you a shape that will be pleasing. Further, it will allow the surgeon to improve symmetry of the breast mound and nipple position. Augmentation mastopexy should be performed by well seasoned surgeons to minimize your risk of complications. Needles to say, certification by the ABPS and membership to the ASAPS is... more
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Breast Lift With Augment

It looks as though you would get a younger look with a lift. It is possible to do only an augment if the doctor puts the implants low into your existing breast shape. That will retain the shape you have now but fuller. It depends on what you want in the final look.
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Do I need a breast lift

With your ptosis and asymmetry, you will need some form of breast lift with the augmentation to achieve a more symmetric appearance.
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Breast Lifting along with Breast Augmentation?

Thank you for the question and pictures. It will be even more helpful if you're able to submit side views of your right and left breasts. The critical relationship of the nipple/areola complexes to the inframammary folds will be best seen on these views. Based on the limited information/pictures provided, I think you will be better off having a breast lift along with breast augmentation to correct the asymmetric breast ptosis and superior pole hypoplasia. I would suggest... more
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Breast lift with Augmentation

A breast lift will reposition the nipple to a more favorable position over the breast mound. There appears to be a significant breast assymetry that may require more of a lift on the left side. The breast lift may help reduce the assymetry. The "need" for a breast lift or not is in part determined by your expectations,however. If the nipple position is well below the breast crease, it beomes difficult to achieve a reasonable shape with breast... more
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Breast augmentation with or without a lift

Thanks for including the photo. Based on the appearance of your breasts, I would recommend a verticle lift at the time of augmentation. I would also consider removing a small amout of tissue on the left side as it appears larger. I believe this procedure would result in more youthful, larger and more symetric breasts. Your best option is to consult with an experience surgeon certified by the American Board of Plastic Surgery to determine what would be best for you. more
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A lift may be needed with a breast augmentation

It appears as though you'll need a vertical lift on the right and just a periareolar lift on the left.
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When to perform a lift with breast augmentation

Thank you for providing a photo with your question, but I do find that photos in one view can be deceiving. The best way to get a good answer for your question is to have a board certified plastic surgeon perform an exam on you. The surgeon will be looking at your skin quality and your nipple position to determine if a lift is needed. You look as if you have pretty nice volume currently. If you simply want a younger shape to your breast and your nipple poisition if... more
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Do I need a breast lift?

I think you may be disappointed if you have breast implants only, as you may end up with lower hanging, larger versions of your own breasts. You have a lot of breast tissue already and I find that it is harder to control the shape since your native breast tissue overwhelms the shape of the implant. Have a thorough conversation of your goals ahead of time and see before and afters of patient who look just like you. In our practice in Northern California, we would consider... more
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Comments (1)

carlsattitude 1 Aug 2012
They are perfect, just the way they are. When you look at some of the before and after pictures and see some of the scarring that is possible - why risk it. As far as clothed appearance, they have undergarments that can lift and pad a bit without any risk. Don't take a chance, yours are absolutely gorgeous for any age.

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