Will a Breast Lift and Reduction Be Enough to Keep Breasts Up and Perky?

I am currently a 34DDD and I want my breasts to reduce my breasts to a perky D cup. I want to be able to wear cute shirts and dresses without having to worry about wearing a bra. Would it be better to get a reduction, lift, and then implants, or will the reduction and lift suffice?

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8 Doctor Answers | Asked by Jessipie in California

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DDD breasts

The quick answer is that all you need is a reduction. A breast reduction moves the nipple to a higher and more youthfull position, removes the excess breast tissue and results in an overall more youthful "perkier" appearance.

Breasts and ultimate goal

You certaily canb have a breast reduction and lift ther breasts at the same time. It does not sound like you need an implant if you are reducing them. But, you will always need a bra. All things eventually move downward with gravity.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

breast lift and reduction be enough to keep breasts up and perky

You ask a very intriguing question. But you failed to post photos, so my answer is a well preformed lift/small reduction can produce "perky" breasts. But if after the surgery you still need more perk than a small implant as a second operation.

Breast Reduction, Breast Lift and Breast Implants What is right for you

When a breast reduction is performed, the majority of patients in my practice are getting them for physical symptoms and the surgery is covered by insurance if approved. That is the first hurdle. Insurance companies can have very strict criteria for what is considered a reduction. Things that may be considered and documentation requested include photos, height, weight, Body Mass Index (BMI), previous nonsurgical treatment, prior physicians care. That is just the... more

Realistic expectations after breast surgery may include needing a bra

So many patients these days are dictating what they want from breast augmentation, breast lift and reducion surgery to include being "perky" and not needing to wear a bra. For many body types, this is just unrealistic and that is the case if you are currently a DDD cup. Your tissue elasticity has been damaged by the size weight and stretching of the breasts that even after a lift and reduction they will always want to be supported. I'd recommend the lift... more

Lift or Implants

No matter the operation you choose, with a D cup breast you will need to wear a bra or your perky breasts will sag with time because of gravity. You probably should consider a reduction which involves a lift. You can always add an implant at a later date, if needed.

Breast Reduction and Implants?

In my opinion you should start with a breast reduction/lift to get the breasts where you want them on the chest wall. This operation will serve to remove excess skin, breast tissue, and adipose tissue. A second stage breast augmentation procedure may or may not be of interest to you; this will increase superior pole volume/fullness. Of course, direct physical examination and a review of your goals will be necessary to give you precise advice. Best wishes. more

Mission impossible: Breast reduction for perky breasts

There are risks to agressive reductions. However, in order to achieve the look you have described, it would best be achieved with an agressive reduction and implants. This would NOT be my advice.