Is Breast Lift Necessary for Deflated C Cups?

You are a candidate for breast implants, with or without a lift, depending on the size and shape of implants you use.  I believe you will progress to a lift in future years if you choose not to do it at this time.

It’s not unusual for patients
to lose breast volume and develop breast sag following pregnancy. It’s apparent
from your history that you have lost significant breast volume following breast
feeding and would like to have your breast volume restored to its pre-pregnancy
level.

 

         When patients lose
breast volume, they often develop associated breast sag. In this situation, the
amount of breast sag varies from patient to patient. Selecting a therapeutic
option for breast sag under these circumstances can be very difficult.

 

         In some mild cases,
a biplaner breast augmentation may be adequate to correct this problem. In
other cases, the sag may be more severe and a more aggressive lift may be
necessary.

 

         Picking the right
option can be difficult for any particular patient. In your case, three
surgeons have made three different recommendations. Without a physical
examination it’s hard to say. Your pictures aren’t particularly helpful.
Consultation with a board certified plastic surgeon who is recognized as an
expert in complex breast surgery is appropriate and will help minimize your
confusion. 

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.

No one can give you definitive advice without personally seeing you, but from what I can see in the picture implants alone would not be a good long-term solution. In the long run, it can make things worse. Part of the decision about which type of lift is best depends upon the size of the implants, since the larger they are the more they will "re-inflate" the breasts. My guess is that the vertical pattern (lollipop scar) would work best.

Based on this limited view, it is my general impression, that you would benefit from a lift. There are multiple techniques for breast lifts and so that may be a more difficult decision. A Benelli may be an option but it truly depends on your measurements and degree of ptosls.