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Will Breasts Stay Perky with a Lift Without Implants?

I'm a 21 yr old mom. Pregnancy isn't so great on breasts. I went from 34DD-34C(current size). I'm ok with the size. I just want my breasts to be more lifted, firm and full-as they used to be before breastfeeding. I'd love to not wear a bra, n them stay perky. Can I achieve this look w/out implants?

Doctor Answers (13)

Full breast with breast lift alone

+2

If you have fullness in the upper portion of your breast, then a breast lift will give you a perky shape. However, after pregnancy, most patients have lost fullness in the upper part of breast and require an implant to provide shape to the upper part.


Santa Ana Plastic Surgeon
4.5 out of 5 stars 8 reviews

Perky Without Implants is Tough

+2

In reality, it is hard to make the breasts look perky with just a lift, no matter how much breast tissue you have of your own.  To achieve the upper pole fullness that so many women want, you often need the implant underneath to maintain that look.  Initially the breasts will look perky without implants, but after a few months, as everything settles and stretches somewhat, you lose that upper pole fullness.  Without the implant underneath to add shape, the breasts can look somewhat empty in the upper pole areas.  I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon
4.5 out of 5 stars 25 reviews

“Perky” Breasts Without Implants?

+1

 Thank you for the question and picture.

 It is hard to give you good advice without direct examination but most patients your age who are asking for “perky” breasts end up having breast lifting and augmentation surgery. Often, there is a deficiency of breast tissue to allow for sufficient fullness without the use of breast implants.  You may want to consider postponing surgery until you have completed pregnancies.

When the time is right, do your due diligence,  in the process of selection of plastic surgeon. 

Best wishes. 

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 757 reviews

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Perky lift without implants

+1

"Perkiness" is a relative term. If you have enough breast tissue to mold, then conceivably it can be done. I f you want larger breasts, then you will need an implant as well.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Perky breasts possible in a lift without implants?

+1

The degree of perkiness available varies with each person depending on their skin elasticity in the breast and the amount of breast tissue volume they have following pregnancy. If you have sufficient breast tissue and reasonable skin elasticity in the breast area, then you may be able to avoid an implant. Your plastic surgeon can evaluate you and help you figure out what will best suit your body type and specific anatomy.

Deason Dunagan, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 4 reviews

What a breast lift does and doesn't do

+1

A breast lift, regardless of how it is done, does not give the breast "perkiness" in the usual sense of that word. A breast lift (mastopexy), properly done, only elevates or repositions the breast and its attached nipple-areola while tucking the excess skin underneath like a dart in clothing. It does not specifically fill in the upper pole of the breast. It doesn't give it forward projection. It doesn't tighten the skin or give it support that will keep it from sagging further from the effects of pregnancy, weight gain/loss, or aging. 

A breast implant is best thought of as pillow volume that can give the appearance of perkiness. It does fill in the upper pole of the breast. It gives it forward projection and can round it out. Breasts look bigger when they are lifted but there is no change in volume from a lift. Implants add to the apparent volume of the breast with a minimum cup size increase of one cup. 

Some feel that implants or perhaps their size or weight cause breasts to sag further. I don't agree with this. However, breasts that have sagged by age 21 are highly likely to sag further in the future whether lifted now or not. 

One other consideration is whether the breasts have truly sagged enough to justify a lift procedure. They may just have lost volume and an implant is the way to go for now since lifts will not give perkiness anyway. 

Scott L. Replogle, MD
Denver Plastic Surgeon
4.0 out of 5 stars 1 review

Perky lifted breast without implants

+1

Although you are likely to achieve a fuller look with a lift, it is unlikely that you will be able to achieve a firm result without the use of an implant. Furthermore, any weight changes or subsequent pregnancies can effect your results and diminish the effects the lift.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Short Scar (Hall-Findlay) Breast Lifts produce long lasting Perky Breasts

+1

A Short Scar (Hall-Findlay) Breast Lifts produce long lasting Perky Breasts. Unlike breast lifts which depend only on skin removal to temporarily lift sagging breasts, this Breast Lift procedure uses the lower sagging portion of the breast as an autologous breast implant resulting in a lifted, perkier breast which stays perky much longer.

You may read more about BREAST LIFT (MASTOPEXY) at the link below -

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 62 reviews

Perky with lift alone

+1

First, you are young, so be sure that you are finished having children.

It is possible that you can get perky and remain perky with a lift alone.  It is worth a try.  A lift will re-shape the breast, and create a slghtly smaller breast.  The problem is that there will be decreased support.  It is well worth a try to get what you want without an implant, and if needed, an implant later.

Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 48 reviews

Perky breasts with a lift and no implants

+1

No matter what kind of a lift you have, in order to have a full round upper pole ("perky") you will need an implant.  Otherwise you can just use a push-up bra plus a lift and achieve the same look.  The patients who need lifting have poorer elasticity and every kind of lift will leave you without upper pole fullness without an implant.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.