Breast Augmentation: Q&A

Ask a Question

To Lift or Not to Lift!? (photo)

My PS suggested I may want to get a crescent lift with my BA. I'm so on the fence. Do i really need it ? Will it make that much of a difference? I used to be a nice full C..than after nursing..this is what i got left. Yuck. I can't wait to be a nice full D-ish. Am i risking anything by not lifting? He said if i choose to, I can do it at a later date. Decisions, decisions...

Tags:

lift second opinion

Comment on this

16 Doctor Answers | Asked by juliejax01 in Indiana

Doctor Answers (16)
Community Comments (0)

Breast augmentation with or without a lift

I would agree with Dr. Rosenblatt's response. I don't think your arms are too elevated in the photos and you appear to be borderline but still with the nipple-areola high enough relative to the inframammary crease to allow for an augmentation alone. This should be done by a plastic surgeon who doesn't suggest crescent lifts and/or think that implants lift breasts and larger ones lift them more. If the lower pole of the breast and the inframammary crease level is not too low and can be... more

Depends on the look you want

Hello. It depends on the look you are going for. If you would like very perky breasts with a full upper pole I would definitely recommend a lift. If you are going for a more natural look then you might be happy with the result you would get from an augmentation alone. I would recommend a consultation to decide the best choice for you. Jaime Perez, MD Breast Augmentation Specialist Plastic Surgery Center of Tampa

Lift or no lift

Your nipple areola complexes look a bit low. I would not do a crescent lift but rather a circumareola( all around). I think they settle better.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Lift for sure

You have all the indications for lift. The size of areola, nipple position, breast touching the chest wall and breast shape are are the indications for the lift. You would get better result with full lift . The concern with the crescent lift is the long term result and loss of nipple projection.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

To Lift or Not to Lift!

With your arms elevated to take the photo you are simulating a lift, so there is probably more ptosis (sag) than is apparent. I think a lift is in your interest, and probably I would recommend a vertical (lollipop) lift, but at least a periareolar (donut) lift. A crescent lift will probably only elongate the areola. The "risk" of not doing a lift is having the unsatisfying outcome of your own breast tissue draping off the implants, and the only escape is a lift... more

To Lift or Not to Lift!?

While a lift is not totally necessary, it will certainly give you much improved results over a pure augmentation. In your case you need to consider an areola reducing lift like the Benelli procedure. A crescent lift at best will give you almost no change and it is much more likely to give you a distorted areola that will require more surgery to correct. The benelli lift will resize and reposition your areola to a more youthful appearance. It does not really give much lift to the breast... more

To Lift or Not to Lift

I am not a fan of the crescent lift and have had plenty of patients sent to me to repair the crescent. I have this same discussion at least five times a day and it always comes down to size and shape and especially your goals. With your nipple on the lower third of the breast and slightly below the crease I think a lift is appropiate if this is you goal. Once you do a lift there is no going back. If you are questioning this then you can always do implants and leave... more

Cosmetic Surgery is an Art and a Science

Hi Julie. Thank for the question. You may need the lift to give you the result you want. This prevents coming back a second time. A formal consult could better determine this..Dr Thomas Narsete Austin, Tx

To lift or not to lift.

From the photos you sent, I would think you would benefit from a lift. I would rather have a woman have a lift with an appropriate sized implant rather than go for a much larger implant to avoid a lift. Without a true examination in person, it is sometimes difficult to be totally sure, but am strongly leaning that way.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Breast Aug with or without a Lift?

Thank you for sharing your photos. The question of whether to have a breast lift with a breast augmentation is a very common one! My experience tells me that you would be happier with a Breast Lift at the same time as your breast implants. In fact, I had a patient who had the breast aug procedure both ways--without a lift the first time and with a lift for the second surgery (soon after). See the link below for a detailed summary of her experience. In the end , she... more

Hard to tell, but...............

From the photos it looks like your nipple is at the inframammary line -- if that is the case, an implant might suffice. I don't like crescentric or binelli lifts -- I don't think they do any good. So, perhaps just do implants and see how they are. You can always do a full lift at a later date.

Breast Augmentation: To Lift or Not to Lift?

Thank you for your question and photos. Since I cannot see you in person the photos help, but consulting with a board certified plastic surgeon is the most important first step. It does appear that you have moderate to severe ptosis (breast drooping). Additionally, your areolae (colored skin around the nipple) is enlarged. Thus, you are likely in need of a breast lift (mastopexy) in addition to the breast augmentation with an implant. If not, your breast will... more

To lift or not to lift

Thank you for your question and for providing the photos. While it is impossible to give definitive advice, I can make some observations. Based on the photos, I think that an augmentation alone would not provide you with an optimal breast shape. There is some sag and stretching of the areola, which would persist after an augmentation. I do not think hat a cresent lift would be sufficient, as this only raises the areola slightly and has minimal lifting effect. I would think that you would be... more

Consider a purse string areolaplasty (donut lift)

Hello, Thank you for the question and the photos. You are not risking anything by not choosing a breast lift and just undergoing a breast augmentation. I think your best breast and areola shape will be obtained by a breast augmentation and purse string breast lift (donut lift). Doing do will allow you to reduce the diameter of your areola and to raise the position of your areola. You could certainly just undergo the breast augmentation and then reassess the breast... more

Lift or Not Lift Breasts

Given the position of the areolae and the position of the breasts relative to the fold in the last picture, you would likely be less than happy with a breast augmentation alone. You will need an examination to give a better idea of what needs to be performed. I would probably recommend a vertical or full breast lift rather than a crescent lift, as the crescent lift does not really change the position of the areolae or help with the laxity of the inferior pole or... more

Breast Lift Necessary?

Thank you for the question and pictures. Unfortunately, your arms are raised in each one of the pictures posted. This arm elevation does raise the position of the breasts on your chest wall. Regardless, the pictures do not replace an accurate physical examination; having said that, I think that you will be better off with some type of breast lift done at the same time as breast augmentation surgery. Personally, I do not perform the “crescent” breast lift; I think the... more