Is Having a Circumareolar Maxoplexy Necessary if You Are Only Looking for Increase in Size in Your Breasts? (photo)

I am interested in having a breast aug, However, I was told that, with the aug, I should also consider a circumareolar maxoplexy. I honestly am not interested in a lift. I want my breast to look as natural as possible , with a bit of an increase in size. How horrible would it look if i skipped the lift? I just figured, the circumareolar maxoplexy is only for a small lift, and is it really going to make much of a difference ? Does anyone have any pictures to display of augs without the lift ?

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13 Doctor Answers | Asked by boobenstein

Doctor Answers (13)
Community Comments (0)

I do not recommend that you skip the lift. I don't think you will like the results.

Thank you for your question and the photos. A breast lift with implants is likely your best option. Implants alone do not lift breasts. Breast implants restore lost volume but do not provide lift. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Minimal scar Mastopexy

Thank you for your question and photo. It appears that in order to accomplish an esthetic result, you most certainly would need a lift. I discourage and frown upon using a large implant to 'take up the slack' because this option not only does NOTHING to correct the problem; it actually makes it worse down the line. I would suggest a small submuscular implant and a Mini Ultimate Breast Lift. This new technique actually elevates your existing breast tissue directly over the implant... more

Breast augmentation and lifts (mastopexy)

Although it is not possible to be certain from a single front-view picture, it appears that your nipple-areolas are too low relative to the inframammary crease behind them to avoid a lift. An implant cannot be positioned correctly behind the breast without lifting the breast and implants don't lift the breast (and larger ones don't lift them more). In general, circumareolar lifts or mastopexy are not true lifts and merely reposition the nipple-areola a bit. I would recommend a true... more

Breast augmentation/lift

You appear to have large B to small C cup breasts with quite a bit of sagging (ptosis). If you were to undergo a modest breast augmentation alone and the implants were placed properly, you would most likely have a very unattractive "double bubble" appearance. So, that is not a good option. The only two viable options, in my opinion, are combination breast augmentation and breast lift (mastopexy), or augmentation with a very large implant. The former would be... more

Breast Lift Necessary?

Thank you for the question and picture. I think that the appearance of your breast will not be aesthetically pleasing if you undergo breast augmentation surgery alone. Unfortunately, a vertical mastopexy will probably be necessary to achieve the best shape/contour possible. For some patients in your situation the presence of a scar ( that results after breast lifting surgery) is is not acceptable; these patients should avoid surgery. For some patients (If... more

Sagging breasts need mastopexy to get best result with augmentation

This is a great question. The answer is somewhat lengthy. Thank you for sending the picture as it is extremely helpful and illustrates a number of points. Judging from your picture, I believe you would benefit from a mastopexy. The reason you need a lift is because you have breast tissue sitting below the level of your fold (inframammary fold). The implant, when properly positioned, is going to sit above the inframammary fold. You would then have breast... more

Is a breast lift really needed

The purpose of the breast lift, even if you wish only a small increase in the size of your breast, is to keep the nipple up front and center rather that low and pushing downward. The around the nipple lift is a small one and you do only want the volume, but your photo supports the thought that the lift might be right.

Breast Augmentation with or without Lift

Hello, You are right, a circumareolar lift is a small lift, designed for small breasts with little sagging. It would not be helpful to you, and in fact would make matters worse. Your breasts are too large and too saggy, and need a full lift. Your results with just a breast augmentation alone would also be unacceptable by most people's standards. Breast lifts are not designed to make you look fake, they are designed to make you look normal. Performing a breast... more

Is a Breast Lift Necessary?

While I can understand your desire to avoid a breast lift from your photo, I do not believe you would be happy with your results if you proceeded with only a breast augmentation and skipped the lift. You noted that you wanted your breasts to look as "natural as possible" which is exactly what they will not look like if you add implants and not a lift. If you place the implants under the breast but above the muscle, the end result will be a "rock in the sock"... more

Augment without lift will not achieve a good result

Given your nipple heights, you will need a lift, whether with or without implants. Small implants will not be enough under these circumstances and large ones will produce an unnatural appearance.

Need to consider a breast lift

With your nipples well below the crease under the breasts a breast lift with or without implants is the correct procedure for you. If you put in large implants you will ultimately regret the choice. If the implant is placed above the muscle you will end up with a rock in a sock appearance, below the muscle the implant will stay in a high position with the breast drooping off of the implant. Neither condition would be an improvement in your current breast shape. more

Breast implants without a lift

Your pictures would indicate that you would benefit by having a breast lift with or without implants. That would be the traditional "plastic surgery" recommendation. So if you deviate from the prescribed way then what do you lose? You will have larger breasts but they will be drooping. If you are OK with that and feel that you would be wearing a bra to lift the breasts then you should just go with the implants. In patients like you I will usually... more

Is A Mastopexy Needed?

Thank you for your question. There is a test we use to decide whether a lift is needed: if the areola's sit lower than the fold, a lift is highly recommended. In my opinion, I think you should either do a lift or do nothing at all. Simply adding implants will only make for bigger but saggier breasts. The bigger you go, the more they weigh, the further south they will travel. I think if you want to be larger, than a lift will be needed.