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Don't Want to Increase Size, But Want to Gain Fullness During Breast Lift, Do I Need Implants as Well? (photo)

asked 5 months ago by Sherrie8995 in Salt Lake City, Utah
Latest answer by York Jay Yates, MD
Question viewed 1,210 times
Tags: DD cup, fullness, implant

I am 33 years old and done having children. I am considering having a breast lift done but am concerned with how they will turn out after surgery. Ideally I would like them to be lifted and rounder. I am currently a size 32D-DD and dont feel like I want to add more sizewise, but I worry that if I do not add an implant that I will be left with flat looking breasts. I would like to not have the T shapped/lollipop scar, is that an option for me? Will I need an implant?

16 answers to Don't Want to Increase Size, But Want to Gain Fullness During Breast Lift, Do I Need Implants as Well? (photo)

Breast Lift and Breast Implants

Hello Sherrie8995, Your breasts are too large and heavy for an effective breast lift to give you a pleasing result ( 1. Nipples just above the horizontal meridian or 'horizon.' 2. Modest upper pole fulness 3. Minimal fullness that hangs below the inframammary fold.) In order to achieve this aesthetically pleasing appearance, a full reduction will be required. This will entail a loss of volume that you will probably want to replace. To achieve... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Beautiful breasts without implants

Hi Sherrie, There is a new technique that can lift your breasts and provide upper pole fullness without a vertical scar. This can be done in women of various shapes, sizes, and degree of ptosis (sagginess). It is called the Ultimate Breast Lift. Long term stability in this technique is provided by transferring breast weight to your pectoral muscles as opposed to relyling on skin envelope for support (standard techniques-Weiss, lollipop, short scar). You are a perfect candidate for... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Upper Chest Fullness With a Breast Lift

Dear Sherrie, Thank you for your photos and question.To raise breast volume to the upper chest will significantly improve your shape. You do not need an implant in my opinion. Implants used for upper pole fullness often drop over time and do not gived the intended effect You will however need removal of extra skin and rearrangement of your breast tissue. Doing that requires incisions , which means that you will need to think that the improved shape is... more

Mary Lee Peters, MD
Seattle Plastic Surgeon

Upper pole fullness can be obtained without implants

A full breast size in the D to DD range with firm breast tissue can produce a beautiful breast shape with excellent upper pole fullness without implants. We commonly use the breast tissue itself forming an "internal bra" (this procedure was also referred to as "laser bra" in the past) suspending the breast with multiple sutures and forming a full and supported shape. With abundance of breast tissue to work with, implants are not necessary and a natural, round... more

Mario Diana, MD
San Antonio Plastic Surgeon

www.newdayplasticsurgery.com

Do I need a breast implant?

Hello Sherrie, The decision of implant vs no implant for me is pretty common sense. If you would like to be larger, an implant is required. If you are happy with the size, I don't think there is any place for an implant. There is a lot that can be done with breast tissue reshaping and anchoring to achieve "fullness" and shape in the upper pole with your own breast tissue. The unfortunate trade-off is that a breast lift... more

York Jay Yates, MD
Salt Lake City Plastic Surgeon

Mastopexy without implants

Dear Sherrie, you are right: using implants my not be necessary and may open the door to a whole new set of issues. nevertheless, a " lolipop scar " breast lift may be your best option with an internal reshaping of the breast tissue. that vertical T of the lolipop is essential in obtaining a nice conical breast, with a projected nipple. You do not need an " anchor scar " lift. those scars are the trade - off to the lift, and will be included in all bras... more

Florence Mussat, MD
Chicago Plastic Surgeon

Would like to gain fullness while getting a lift. Do I need an implant?

You breast are too large for just a lift. If you just get a breast lift, it would look a lot better, but because of the weight they will droop again. You would definitely need a reduction and a lift to have a more stable result. Some time I would do a reduction, lift and an implant to give upper pole fullness. The so called plus minus concept.

Farhad Rafizadeh, MD
Morristown Plastic Surgeon

Breast Lift and Fullness?

Thank you for the question and pictures. What is clear from your pictures Is that you will benefit from breast lifting surgery; in my opinion, both a vertical and horizontal excision will give you the best results. Whether a breast implant will be helpful will depend on your goals; for example, what you mean by “gaining fullness”. In any case, it may be in your best interest to undergo the breast lifting operation first and see how you like the results... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Lift

When it comes to breast lifts, the most important element in patient satisfaction is realistic expectations. Remember that the results aren’t permanent. Gravity, aging, and weight ﬂuctuations can take their toll on your breasts again. Scarring will be considerable, even in “minimal incision” breast surgery. Be prepared for these outcomes before going ahead with a mastopexy. Mastopexy is very much a three-dimensional operation. If you combine it with ... more

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Breast Lift Without Implants

Thank you for the photos and questions, Sherrie. I agree with completely. You do not need and should not have a combined mastopexy (lift) and augmentation. You will gain some superior fullness and projection with a vertical lift (less with a Wise pattern). The reason you should not get implants at least initially is studies show that raising your nipple more than 4 cm and then placing an implant at the same sitting can lead to increased complications. I think you will be happy with a... more

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Breast lift

A breast lift is the wya to go if you just want about the same size and perkier. If you want more volume you would also need an implant. Very possibly you could have a vertical mammoplaty using a lollipop incision. Sometimes depending upon the laxity, a "T" or anchor type of incision is used.

Steven Wallach, MD
Manhattan Plastic Surgeon

Will a Breast lift give enough fullness without implants?

Thank you for the photos. You are an excellent candidate for a short scar or lollipop scar breast lift. You will gain better shape (rounder less elongated breasts, smaller nipple areolar compleses and more fullness superiorly).If you want to maintain your current breast volume, that is possible, but you will need some skin excision. This cannot be done without leaving scars. There's a trade of to get the desired look and shape. The vertical scar and periareolar scar fades over a... more

George Marosan, MD
Bellevue Plastic Surgeon

www.bellevueplasticsurgeons.com

Improve shape and maintain size with a breast lift

It sounds like you like the volume/cup size you currently have, but don't like the shape and droopiness. I see a lot of patients who are in a similar situation to yours - moms who are done having babies, have seen their breasts change with pregnancies and breastfeeding, and would like to have a better shape. If you are comfortable with your size and don't want to be bigger, I don't think you need an implant. It would be best to be seen and evaluated by a plastic... more

Angeline Lim, MD
Palo Alto Plastic Surgeon

Upper pole fullness with breast lift?

We can achieve upper pole fullness with a central pedicle breast lift, but in your case, the anchor incision will be necessary. This is a trade off between improved shape and scars. As you mentioned, an implant or even fat grafting can enhance the upper pole of the breast as well, but will increase breast size.

Frank Agullo, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

Mastopexy

Unfortunately I think you may be asking a little too much from a mastopexy. You do look like at least a D. or a double D. and I am not sure there are going to be many people brave enough to attempt a lift without doing the standard reverse anchor or "T" incision. The problem is at the weight and size of your breasts you may be looking at further droop with time. Certainly nowhere near where you are at this point but you cannot expect them to stay up there indefinitely. My own... more

Sherwood Baxt, MD
New Jersey Plastic Surgeon

You will full lift will vertical scar

You expectations are not realistic .You have excess skin and large amount of breast tissue. You will full lift with no implant. I would recommend no surgery based on your expectations.