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Breast Lift versus Breast Augmentation

At what point do you know if you need a breast lift vs breast implants (or both)?

Asked 31 months ago by SaskGirl in Saskatchewan Canada

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comparison technique

Breast lift or breast augmentation?

Hello, The two procedures, breast augmentation and breast lift, are designed to accomplish different things. Breast augmentation is designed to increase or replenish breast volume. Breast lift is designed to reposition the areola and reshape the breast by correcting breast laxity. One procedure should not be used to help correct or camouflage the need for the other. This inevitably results in a suboptimal result. All the best, Dr Repta more

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Remus Repta, MD

Phoenix Plastic Surgeon

ASPS

Breast lift versus augmentation?

A breast implant is simply a bag of filler material designed to add volume to the breast. It is not designed to do anything else. I tell my patients that their breasts should look just like they do before surgery, only fuller. If you look at your breasts and determine that that will not work for you then perhaps you need a different procedure. Some patients who have lost volume from pregnancy or weight loss simply have loss of volume to their breasts leaving... more

Edwin C. Pound, III, MD

Atlanta Plastic Surgeon

Breast lift vs. Breast implants

If your only concern is that the breasts are small and you want them larger, usually a breast implant will be enough. However if your breast appear to be droopy, the nipples appear to be low on your chest or are pointing down you probably need a breast lift. Both a breast lift and a breast augmentation will be required if you breasts are small and droopy. The best way to know what is best for you is to be a evaluated by a plastic surgeon.The physician should be certified by the American... more

Miguel A. Yáñez, MD

Charlotte Plastic Surgeon

ASAPS ASPS

Dilemma: Breast Lift or Augment

This is a great question. It really depends on the size and shape of the breast. If the breast is really lax and "saggy", a breast lift or mastopexy may be the right option. If the breast is not as large as you would like or it has lost its upper volume after breast feeding, augmentation may be the best option. There are some patients who could benefit from a combination breast lift and augmentation as well. The downside of a breast lift is... more

Michael Vincent, MD

Rockville Plastic Surgeon

ASAPS ASPS

Lift or Augmentation

Breast lift will tighten sagging skin, reshape the flattened droopy breast, reposition some of the breast tissue that is below the crease higher on the chest, and put the nipple at the height of the breast crease. Breast augmentation will make the breast larger, can fill out loose skin of a deflated breast. Breast implants do NOT lift the breast or nipple. Upper chest fullness can be helped primarily with an implant and variably with breast lift, depending on the amount of... more

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Breast augmentation or breast lift

You have to answer whether you want more volume or not. If you are happy with your current breast size but not happy with your shape because they are saggy, then you should get breast lift. If you are not happy with your size, then you can get implants. If you are not happy with both the size and shape, then you will need breast augmentation and lift at the same time. Please talk with your plastic surgeon about your goals and expectation. She or he will give you... more

Sugene Kim, MD

Houston Plastic Surgeon

ASPS

My Breasts Have Fallen and They Can't Get Up - Augmentation or Breast Lift

Patients who I see in consultation for drooping breasts (ptosis) or volume loss after pregnancy (pseudoptosis) almost always have one very important question. "Can my drooping be corrected with just implants or do I need a lift". Here is the answer based on what I look for and ask each patient in my practice setting in Sarasota, Florida. Implants alone will correct drooping when: Breast drooping is mild The nipple is still near the center breast and does not point... more

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David L. Mobley, MD

Sarasota Plastic Surgeon

ASAPS ASPS

Breast lifting with or without implants vs implants alone

Basically, if you pad your bra and want more volume than you have, you need an implant regardless of the lift issue. If you want upper pole fullness, you also need an implant because a lift alone won't usually do that. You need a lift if the nipple areola has descended down from a youthful elevated position. Remember that the best looking breasts have the nipples on the front pointing forward. The farther down they have gone the more lift and scars you need. If they are still above the... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Breast Lift and Breast Implants

Hi SaskGirl Breast lifts and breast implants perform different functions. Breast implants provide volume and can either enhance or restore the size of the breasts. Breast implants alone do not provide substantial lift to the breasts. If the primary concern is sagging or ptosis to the breast, the better operation is to formally lift he breasts through a mastopexy. Sometimes patients desire both, i.e. increased volume and lift to the breasts. In this situation both operations are performed... more

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Wayne I. Yamahata, MD

Sacramento Plastic Surgeon

ASPS

Breast augmentation vs. breast lift

Please don't think that breast augmentation will do any lifting to the breast, it will only fill out the breast shape by adding volume to the breast. Whatever your breast looked before the surgery it will only look fuller after the augmentation. A lift, on the other hand, will add volume if performed with the augmentation but will also give you a more elevated and balanced breast look if performed properly, provided the correct breast lift is performed. These types of... more

Francis (Frank) William Rieger, MD

Tampa Plastic Surgeon

ASPS

Breast Lift versus Breast Augmentation

Although there is some indication cross-over, a breast augmentation has a different goal than an uplift (mastopexy). Adding an implant to a breast is designed simply to make it larger. Generally it even has the same shape, but it is just larger. If the nipples are too low and there is sagging, an implant will make it larger, but with some minor exceptions, it will be a larger sagging breast with the nipple pointing downward. An abstract rule many plastic surgeons go by is, if the nipple... more

Ronald Finger, MD

Savannah Plastic Surgeon

ASAPS ASPS

To lift? or only an augmentation?

A breast lift is a procedure to raise the nipple-areolar complex. It does not increase the volume of the breast like an augmentation. Some patients are candidates for both procedures. A consultation with a board certified plastic surgeon will determine what procedure is best for you.

George John Alexander, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Breast Lift versus Breast Augmentation

The best way to determine this is to have someone evaluate you. With that said, a breast lift is generally indicated when you have significant glandular (breast) and/or nipple ptosis (sag). Nipple ptosis is when the nipple sits at the level of the IM crease or lower. Breast ptosis is when the breast hangs over the crease. A lift procedure can range from a simple nipple elevation technique (ellipse lift) to a more aggressive lollipop lift (Vertical Mastopex) with or... more

Christian Prada, MD

Saint Louis Plastic Surgeon

ASPS

Lift or Larger?

Ask yourself if are happy with the size of your bra or would you prefer a larger cup size. If you want a larger cup size then you will need an implant or augmentation. If you are ok with the size but would prefer to be a bit more perky, then a lift might be just right for you. A lift is going to do a lot for drooping or sagging of the breast and an implant is going to add fullness and volume to the breast.

James Wire, MD

Minneapolis Plastic Surgeon

ASPS

Breast Augmentation vs. Mastopexy. Natrelle STYLE 510 prostheses.

The purpose of each surgical procedure is different: BREAST AUGMENTATION: Improve the size of your breasts. BREAST LIFT (Mastopexy): Improve the downward position of your nipples, and the breast sagging / laxity. But there are same clinical situations, where a breast augmentation, when your (and your surgeon) choice is an ANATOMICAL (SHAPED) PROSTHESE, can correct a mild / moderate drop. If "STYLE 510" (Natrelle-Allergan) implant is chosen, we can solve a... more

Enrique Etxeberria, MD

Spain Plastic Surgeon

Breast implants are designed to enhance the size of a woman's breasts, and

They work extremely well when chosen wisely and placed skillfully. They are not really designed to change the shape of a woman's breasts, specifically issues like uneven areolar size, or position. Implants, particularly placed above the muscle, can have a small effect on droopy (ptotic) breasts, but if there is significant ptosis of the breasts, than a breast lift is the correct operation. If the problem is one of both size and shape of the breasts, than a combination... more

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Michael H. Rosenberg, MD

White Plains Plastic Surgeon

ASAPS ASPS

Breast lift, breast augmentation, or both

In order to determine whether you need a breast lift, breast augmentation, or both, it is best to consult a plastic surgeon. Without a physical examination, it would not be possible to tell you what you need. There are many types of breast lift procedures depending on the amount of drooping you have. To an extent, breast implants can provide a small amount of lift if the drooping is not very bad. If you have small breasts that droop, you may need both a breast lift... more

James Tang, MD

Houston Plastic Surgeon

ASPS

Breast Lift versus Breast Augmentation

Perhaps the most simple thing in determining whether one needs an augmentation and/or a lift is to assess the position of your breast tissue and nipple in comparison to your inframammary fold. It is really not beneficial to do an augmentation alone if the nipple and breast tissue are below the inframammary fold as this causes a long term breast deformity. If you have drooping of your nipples and your breast tissue is below your inframammary fold you really should consider doing a breast lift... more

Rod J. Rohrich, MD

Dallas Plastic Surgeon

ASAPS ASPS

Breast Implants or Breast Lift or Both?

While it is impossible to tell if you will need breast implants, a breast lift, or both without a thorough discussion and evaluation, here are a few guidelines: Breast Implant Candidates: - Have a small amount of drooping (i.e. ptosis) - Have a nipple that is no more than about 2 cm beneath the breast fold - Desire an increase in size - Are concerned about scars on the... more

Jaime Perez MD

Tampa Plastic Surgeon

ASPS

Breast Implants - With or Without a Breast Lift

Hi MaddiesMom in Canada, Excellent question - and probably one that should be asked more often. Here's what I would say are the general guidelines. If you are basically happy with the shape and position of the breasts, then you will do well with just implants. The position refers to where the nipples are (height, do they point forward or down) relative to the breast mound. If you have just a little bit of sagging (or none), even with a loss of superior fullness... more

Alan Engler, MD

New York Plastic Surgeon

ASAPS ASPS

Breast lift v breast augmentation

This is a simple enough question with a complex answer. Your goals will have to be sorted out in a consultation as well as your tolerance for incision lines and scars. Get a consultation from a board certified plastic surgeon. Wishing you all the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD

Chicago Plastic Surgeon

ASAPS ASPS

Breast lift vs. Breast implants

The easiest way to answer this question is to ask yourself if you are happy with your breast size in a non-padded bra. If you are happy with your breast size in a non-padded bra, then a breast lift alone is the procedure of choice. If you wish your breasts were fuller with a non-padded bra, then you will require a breast implant, which may also require a lift at the same time if there is also sagging.

Andrew P. Giacobbe, MD

Buffalo Plastic Surgeon

ASAPS ASPS

Breast Augmentation vs Breast Lift

If you want larger breasts or more volume, a breast augmentation may be what you are looking for. If you have excessive skin, lack of breast tissue, and your breasts are sagging (the nipples are pointing down) you may be a candidate for a Mastopexy or breast lift. Upon consultation your ASPS board certified plastic surgeon will examine you and determine the best treatment plan to address your concerns.

Christine Sullivan, MD

Columbus Plastic Surgeon

ASPS

Lift vs Augmentation

Breast augmentation only makes your breast larger. In some cases using a larger implant can give the illusion of a better shape or better nipple position however I don't ever encourage this as it just leaves you unhappy and in 5 years needing even more of a lift than was probably warranted in the first place. Determining if you need a lift is based on a few things, where your nipples are on your breast, volume differences and the look you are going for post-operatively. If you desire... more

Thomas B. Lintner, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Breast augmentation or breast augmentation plus lift Augmentation mammoplasty

Some patients I see in consultation are primarily interested in a breast lift procedure. For those with a significant amount of existing breast tissue, a breast lift alone may produce an aesthetically ideal breast appearance. However, it can difficult to achieve significant fullness in the upper poles of the breasts (the upper aspect of the breasts, above the nipple-areola area) in many patients by means of a breast lift alone. I ask patients who are considering a breast lift procedure... more

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