You have significant breast sagging need a breast lift and would be disappointed with only a breast augmentation without a lift. An implant alone will only give your about 1 to 1.5 cm of lift not enough for you to see much of an improvement.
Looking at your pictures it seems that you certainly need a lift to make your breasts perkier. An implant will fill you and add volume, if you want minimal enlargement then you need a lift. I would recommend an in person consultation with a board certified plastic surgeon who can help you visualize what a lift alone versus a lift with a small/ modest implant will do. Best of luck!
To meet your wishes, you need at least a lift. An implant alone will not correct the sagging. An implant and breast lift would give you a lift, and would also provide upper pole fullness (cleavage) that is currently lacking because the majority of the breasts' mass is in the lower pole. A formal consultation with a plastic surgeon near you would provide more customized advice. Best regards,
-Erik Hoy, M.D.
From your photos, I recommend an implant as well as a breast lift. If you only get a breast lift, your breasts will have a better position but without volume.
If you do not desire the 'sag' and no increase in volume than ONLY a breast lifting operation is indicated....
An implant will fill the upper pole of the breast but you will need a lift as well, unless you only want to get rid of the sagging breast tissue with lift. An implant alone will not give you a lift.
Your nipple and a significant portion of your breast tissue sits below the infra-mammary crease. A vertical mastopexy with a resultant lolli-pop scar is necessary. These scars heal very well and should not be a concern.
This is what I do to maximize lift with a breast implant alone:
- use silicone cohesive gel implants. The more cohesive the better. I am not sure if these are available yet in the US, but the Allergan Inspira Truform 2 implants are ideal
- use high profile implants. The more projection you have, the more lift you will get
- have the implants placed in the submammary pocket (under the breast itself). You should have a pinch thickness at the top of your breast of at least 2 cm
However, you should talk to your surgeon to see if this would work for you.
Technically, no one has to have a lift with an augmentation. Some patients will definitely not be happy with an augmentation alone because they are just too droopy to have a nice result so a lift is recommended but there are some patients who are on the cusp. Depending on what results you are hoping for also makes a difference as to what the surgeon will recommend. If you don't want to be larger and hope to just have perkier breasts, you may want to consider a lift alone. If you are not ready for the scars of a lift, you can always try the augmentation first and see how you like them and add a lift later but that also means 2 surgeries and 2 recoveries, etc. After 2 kids, an implant alone will fill some of your loose skin but not enough to give you the "porn star" look unless you go with a very large implant. You may experience more upper pole fullness but your own breast tissue may hang off of the implant. It's hard to say from the photos alone so it would be best for you to go see a board certified plastic surgeon for an in person exam and get your best options at that time. ac
Thank you for your question.
The important thing for you to do initially is to decide what your goals
are for your surgery. You say that you
do not want larger breast, you just don’t want them to sag. Your pictures show that you have loose breast
skin so a lifting procedure would need to be done to tighten up the skin
envelope and raise the nipple position.
This would give you a less “deflated” appearance, but would also likely
reduce your breast volume. The before
and after pictures that you provided all show significantly larger breasts in
the after photos. If these photos
accurately represent your desired outcome then you will need an
augmentation. Based on the pictures you
provided, the best way to achieve the results shown would be to have an
augmentation with a breast lift at the same time. Alternatively, you could have an augmentation
and then if after surgery you and your surgeon felt like you still required a
lift, it could be performed as a second procedure at a later date.