Breast Implants: Q&A

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Do I Need a Lift Before Having Breast Implants? (photo)

I am 40, a mother of 1, fluctuate between 145-160pds and am 5'10". I have slight stretch marks on my breasts from my pregnancy 8 years ago. I would like to achieve a teardrop look with a cohesive gel implant as i am under the impression that I will not have to have a replacement surgery with these types of implants. Could you tell me if you believe i would need a lift first? Also which implants and type should i be looking at? Under the muscle or above with my fibrous breast tissue? Mod profile?

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19 Doctor Answers | Asked by anewview in Canada

Doctor Answers (19)
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Augment and lift? (or not).

You have a condition called glandular ptosis of the breast in addition to having ptosis of the nipple , (a low nipple relative to the breast). Most of your breast is near the lower half and not much at the top. I think that you will need a "lollipop" mastopexy in addition to a breast implant as the nipple needs to move up on the breast for some distance. Whether a circumareolar mastopexy would work would depend on the distance from the nipple to the breast fold at the chest. The... more

Lift to reshape breasts and increase cleavage

Your photographs show that your areolas are too low, too lateral and you have very little cleavage. More important that the implant is the lift. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape your breast tissue to increase upper pole fullness and displace the breast higher on the chest wall and more medial to increase cleavage. Aligning the areola, breast tissue and... more

Breast lift should be done together with implants.

Hi. 1) Don't have two operations. You a need a minor lift (more on the left) done through a circular scar around your nipples. Implants are placed under the muscle through these same incisions. 2) Avoid "gummy bear" implants. Regular cohesive gel, smooth surface, moderate PLUS profile implants are good. see video

Breast Augment with Lift

First, you are a great candidate for augmentation with a cohesive gel implant combined with a vertical (lollipop) mastopexy. You will not need an extension of the incision into the inframammary fold. However, all implants have a finite life and choosing a cohesive gel does not eliminate the possibility of replacement down the road. If you have a superior outcome today any revisional surgery or implant replacement later is usually very straight forward and with little... more

Breast Implants and Lift

You can have the breast lift and the augmentation at the same time, and you would benefit from both. The implants should be placed under the muscle. As far as sizing, sizers should be tried on in the office to get an idea of what size you would like. Please find a board certified plastic surgeon with GREAT CREDENTIALS who performs hundreds of breast augmentations and lifts per year.

Breast lift and implant

Thank you for the question and photos. It does appear that your nipple-areolar complex should be positioned higher. Also, an implant would achieve the fullness that you desire. Performing these two procedures together is a very common and safe method to achieve your desires and can produce excellent results. The position of your nipples now would likely require a vertical lift. Both cohesive gel and smooth round implants would be adequate for you, but the... more

Lift

You do not need two separate procedures. Although I do not see a lateral photograph for your left side this nipple areola complex looks a little low. This can be repaired with a periareolar mastopexy. The right side seems to be OK and just needs augmentation

You need a lift

I would echo the other doctors and say you need a lift but it can done at the same time as your augmentation. A cohesive gel implant has the amount of revisions as a round implant. The main difference is the look in the upper pole with the anatomic implants appearing more natural

Lift with Breast Augmentation

You absolutely do not need a lift before a breast augmentation. Whether or not you need a lift, however, is another question. From the angle of the pictures, it is hard to tell if you have any real droop. If you do, the most you will need is a periareolar mastopexy (lift). This, if needed, is done at the same time as the augmentation. If, on actual examination, you have no real droop, then all you need is an implant placement. As to placement, if you have adequate tissue... more