Is Breast Lift Necessary for Deflated C Cups?

Thank you for your question and for your photograph.  Unfortunately, the photograph is a little bit limited but I will share some thinking with you nonetheless.  I agree with one of the other doctors listed below that you are in the grey zone with respect to needing a lift.  From the photograph you appear to have a generous amount of natural breast tissue.  Natural breast tissue will always respond to gravity with or without an implant, even with a breast lift.  But I actually think that a little bit of droop gives a more natural look.  In a patient such as yourself in the grey zone for a lift I will usually ask that patient to allow me the option of a lift if I feel it is necessary.  I place the implants first focusing on the symmetry of the upper pole of the breast.  Filling out the upper pole will certainly give some degree of elevation.  If the patient has given me the option I will then proceed with either a full lift, crescent, vertical, or a Periareolar lift if I feel that the implant has not given enough elevation.  If you are uncomfortable with your plastic surgeon having the option of making the decision for you  can place the implants, allow them to drop and settle and decide upon a lift together in the future.  Both are reasonable options.  Again, because of the volume of your natural breast tissue you will still have some degree of droop but I actually think it will make you look more natural.  Best wishes.

Thank you for the  question and picture.

In  person examination and careful communication will be a critical  step towards achieving your goals. However,  a few general words of advice may be helpful.

Based on experience, I would suggest that your 1st concern should be obtaining the best results possible (scarring concerns should be secondary).  Most patients undergoing this procedure will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry are met. 

In other words, if you select your surgeon based on  the offer of a “limited scar” procedure you may be disappointed with the results.
It will be very important to communicate your overall goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
If you decide to use implants ( for example to achieve more superior breast pole volume) 
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible .
By the way, the most common regret after this operation, is “I wish I was bigger”.


I hope this helps.

Mothers may find that pregnancy and breastfeeding contribute to loss of volume and firmness. If you're looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure without the need for general anesthesia.