For many of the breast lifts that I perform, I generally recommend use of a submuscular implant. The advantage to this is that I can usually restore and enhance upper pole fullness which a standard breast lift does not accomplish on its own. In addition, I feel that placement of an implant also may provide a more optimal shape and contour to a lifted breast. But is this always necessary? No.
If you already have substantial breast volume or if you have fairly firm, glandular breasts, then this may not be necessary. In this case, I would simply restructure and reshape your breasts using a standard breast lift alone. Adding additional volume to breasts that are already large may simply not be necessary.
I hope that helps.


