Breast Lift: Should I Also Get Implants?

So thanks to everyone's advice and my surgeon's information to my previous question. I've decided to go forward with surgery. My doctor is recommending a small implant to fill out the top of the breast and create a roundness.

The idea of an implant (and having to replace it every 10 years) doesn't thrill me, but I want the best result possible. Do you think it would be worth it as opposed to just a lift?

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9 Doctor Answers | Asked by abc123abc in OR

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Breast implants are not necessary if you are happy with the volume or your breasts

If you are happy with the volume of your breasts in a bra - there is no need to get breast implants. It is how the breast lift is performed that is important. The breast tissue is elevated and held in place using an internal transitional mesh bra - auto augmentation (using patients own breast tissue) rather than an breast implant.

Breast Implant Placement along with Breast Lift

Placement of breast impalnts under the Pectoralis Muslce does help to enhance the results of a breast lift or mastopexy. In almost all of the breast lift procedures that I perform in Beverly Hills, I do use an implant to improve breast projection and volume. Contrary to the general belief, breast implants do not need to be replaced every ten years. Saline and Silicone implants do only need to be replaced if they deflate. therefore, you need to watch them and have your doctor evaluate them on... more

Implants with a breast lift

I will just add that you should get implants with a lift only if you want additional volume. It sounds obvious, but I've seen numerous patients who opted for or were talked into implants for that upper pole fullness and then were unhappy because of the additional weight/volume.

Depends on the amount of breast tissue you have.

If you have very deflated breasts with loose hanging skin then I would totally agree that you need to have implants to get the full upper pole that most people are looking for. You could have the mastopexy first and see if you are happy and then add an implant later if you are not satisfied, but this would add a step and some expense. Probably if your surgeon is reccommending the implant you need it. Good Luck, Dr T

Breast Augmentation Mastopexy?

Thank you for your question. The answer to your question depends on what you mean by achieving the “best results possible”. In general, breast implants are helpful in achieving some superior pole fullness, for most patients undergoing mastopexy surgery. Prior to proceeding with surgery it will be very important to communicate your goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too... more

Breast Lift with Implants

If the nipple is below the fold, you may need a vertical skin excision, with a round block mastopexy, sometimes called a lollipop lift. If you don't have sufficient breast tissue you may need an implant to give volume to the superior pole of the breast. Implant size should be conservative as big implants are like big breasts and will subsequently make your breast sag more and bottom out. Remember, the quality of the skin is not as good as it once was, otherwise you would not't... more

Do I need implants with a lift?

Implants are used either to increase breast size, or to give fullness to the upper portion of the breast, or both. There are tradeoffs or risks with implants (eventual rupture after many years with a need to replace the implants, capsular contracture causing firmness and shape distortion, etc) and you need to be aware of these. If you are happy with your breast size and are not too focused on obtaining pronounced fullness in the upper pole, the tradeoff may not be worth it to you... more

Breast lifting often needs to include impants

If the breasts are sagging but lack volume then the use of breast implants also become necessary to give proper shape and contour to the breasts. If you only lift skin in the absence of volume the result is quite unattractive. After pregnancy and/ or weight loss the need for implants in association with a breast lift is very common.

Do You Need Implants with a Breast Lift?

Breast implants are not necessary with a breast lift. However, many times breast implants will enhance the results of a breast lift. When a breast lift is done, your breast actually gets a little smaller (maybe half of a cup size). Breast implants can help to lift the breast and fill in the deflated top portion of the breast. Breast implants will also make you larger, so they may not be necessary if you are happy with your current size. Good luck with your surgery! more