Deflated D, Will Implants Alone Correct This? (photo)

I was born with low-set breasts have a narrow frame 5'7" 128lbs and wear a 34D, but don't fill out the cup anymore. I am in my mid 30s and no kids but over time my skin lost elasticiy and working out/lifting isn't helping. I don't want scars from a lift and was told by a couple PS that i'm boarderline for a lift, but my nipple position is good and a lift won't benefit me enough. will just a 425cc saline under muscle be beneficial and fill out my upper pole? or will this just make me sag more?

Doctor Answers (14)

Lift with implants alone

95% of my patients who have been properly selected for breast augmentation without a lift to address sagging are satisfied with the amount of lift they achieve with implants. The right implants and technique can help you address mild to moderate sagging with breast augmentation alone, by taking into account the size you'd like to be and the amount of lift you require during the pre-surgery planning process.

These three things are considered to help give you the extra lift you require to make your breasts “perkier” without mastopexy:

1) During your breast augmentation, the breast implants will be placed directly under the breast tissue and above the chest wall muscle (in the sub-mammary position).

2) The best breast implants to use for a perkier result contain silicone gel that is more cohesive, such as the Allergan Inspira Truform 2 (formerly known as Soft-Touch gel). These implants are slightly firmer to maintain their shape better, but still retain their natural feel.

3) The shape of your breast implants should have more, rather than less, projection. Breast implants with a smaller base width will make your breasts project more forward from your chest wall and body, creating a more prominent contour. “Profile” is a synonym for projection, therefore look for high profile implants.

Generally speaking, larger breast implants can also help give a better lift, sometimes raising the position of the nipple by one or two centimetres.

Please see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.

Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

Breast Augmentation and Lift for Low-set breast

Thanks for your question and the photos.  Achieving good results with low-set or slightly sagging breasts is a common issue for plastic surgeons and patients.  I think that based on your photos and your description of losing elasticity that you would be happiest with a lift and implants.  These issues are always best determined by in person consult to assess tissue quality and have appropriate measurements.  In general when there is a loss of good skin elasticity and a significant portion of the lower breast tissue and skin is below the breast crease I recommend performing a lift with the implants for optimal breast shape and aesthetics.  In my practice I believe the lift incisions always heal very nicely, and my patient's agree that great breast shape and fullness is worth the extra incisions.  I hope this helps.

Steven M. Camp, MD
Fort Worth Plastic Surgeon
5.0 out of 5 stars 27 reviews

I think you'll be happier with a breast lift and an implant


thank you for your question and photographs. While you certainly can have breast augmentation with breast implants alone from your photographs my guess is that you will feel like you are sagging more after your breast implants that you've do now.

Of course an in person examination is required, but based on your photographs I believe a breast lift and a small breast implant placed beneath the muscle will give you a nice result.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 36 reviews

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Breast Lift for Glandular Ptosis


Although your nipple position is not bad, your breast gland is absolutely ptotic. That is, the lower pole of your breast sits well inferior to your inframammary fold. This will not be corrected with an implant alone.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
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To lift or not to lift...


Good morning!


While it is always difficult to diagnose with photos, from what I can see I would recommend a breast lift.  Implnats alone will not give you a perkier, bouncier look- they will only make you bigger.  Your breasts will still reside lower on your chest wall.

If you were my patient, I would recommend a breast lift with an augmentation.


I hope this helps

Robert Steely, MD
Houston Plastic Surgeon
4.5 out of 5 stars 14 reviews



Hello. Judging by your pictures it looks like your nipples are lower you’re your inframammary fold. If this is the case I would definitely recommend a lift along with your implants. A consultation would definitely be helpful in determining your best option as it is hard to determine based on pictures alone.

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 31 reviews

Breast lift?


I think that just looking at your photos you may need a lift.  Your arms are elevated in the photos and your breasts looks like they are sagging.  An exam in person is key.

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

Deflated D, Will Implants Alone Correct This?


Reviewing the posted photos I believe you will needed a lift. But you can try a larger implant first operation to see if that satisfies you. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

How Much Lift Will a Breast Implant Provide


Thank you for your question and photographs.  Your best advice is with an in person consultation, but from your pictures it is unlikely that you would have an improved appearance with implants alone.  I think you would merely have bigger breasts that are more subject to gravity, hence too low.  You would also be unlikely to get a pretty shape from an implant alone. It is an idea that sounds better than it is likely to turn out. You need a breast lift with or without implants.  Using an implant to raise nipple position usually leads to disappointment over time. Get another opinion from an experienced board certified plastic surgeon. 

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 94 reviews

Is breast lift needed with breast implants?


As your arms are lifting in the photo, its hard to establish your exact nipple position.  If the nipple is indeed not positioned too low, you could have a good result with implants alone without a lift.  If a lift is indicated, it may be able to be done as a mini-lift with minimal scarring.

Arnold S. Breitbart, MD, FACS
Long Island Plastic Surgeon
4.5 out of 5 stars 53 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.