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Can I Get Large Implants to Avoid Lift? (photo)

asked 5 months ago by kriswill in Las Vegas, NV
Latest answer by Alfred Sofer, MD
Question viewed 401 times
Tags: breast feeding, sagging, deflation, F cup, without lift

Hi, I'm wanting to end up in the 34f range. Ive breast fed 2 children so I'm pretty saggy/deflated/very sad looking. Is there a way to avoid the lift using a large implant or does that not matter? Also is it customary for the surgeon to place the implants first then do the lift? I think I'm just paranoid my nipples will end up in some strange position. thanks!

Photos Added 12/14/11

20 answers to Can I Get Large Implants to Avoid Lift? (photo)

Large implants to avoid lift not advisable

Hi Kriswill, Thank you for sending the photos, it is very helpful. It appears that your nipple is a little low but not low enough that you absolutely need a lift. There is some sagging of the breast tissue itself. I advise my patients that we first determine what size implant is appropriate for your body, that you feel comfortable with. Then, depending on the implant size, we decide whether or not you need a lift. For example, if you prefer a 240cc size... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Large Implants to Avoid Breast Lifting?

Thank you for the question. It is is not possible to give you precise advice without direct examination. However, based on your description of “saggie/deflated” breasts, it sounds like breast lifting will be your best option. Trying to avoid breast lifting with larger implants generally does not work well. Given that you do want to achieve a larger breasts look, it will probably be in your best interest to undergo breast lifting first,... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Will Large Implants Help Me Avoid Needing A Breast Lift?

Dear Kriswell, First, without photos and a detailed consultation, it is not possible to determine what size implant would be correct for your body frame and size. Using some generalizations however, if your breasts have become very ptotic-a fancy medical term for sagging and droopy breasts, then using a very large implant alone to inflate and lift them will probably not work. Most women's breasts sag and droop during pregnancy and nursing because of the extra size and... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

Breast Implants to avoid lift.

There are different classes of droopy breasts. Class I can be addressed with implants. Usually with other classes you will need a lift, no matter how large of an implant you are considering. The shape of an aesthetic breast relies on amount of skin, position of the nipple/ areola and volume. Depending on the amount of the droop, large implants can not address the position of the nipple/areola complex. Be weary of surgeons out there, many of whom are not plastic surgeons and do not have... more

Alfred Sofer, MD
Fairfield Plastic Surgeon

Large implants make the breasts large but do not lift

Large implants make the breasts large but do not lift the breast. It is very likely that if your skin and tissues are thinned and deflated, that you will not be able to support such a large implant without some type of additional procedure such as a lift or acellular hammock. Large implants can cause thinning and problems down the road. Consider carefully before proceeding and discuss these issues in detail with your plastic surgeon. Best of luck.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Breast Lift vs. Implant

Thank you for the photos. Based on the photos, it looks like you have grade 1 ptosis, meaning your nipple is at your inframammary fold or a very slight grade 2 ptosis. That puts you at the border between mastopexy or augmentation. It is a decision you should make with your plastic surgeon once you have all of the facts. A lift will cause more scars but the shape and the location of the nipple will be improved. An implant will improve your projection but with ptosis, you will need a larger... more

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Breast Augmentation - Can I Get Large Implants to Avoid Lift?

Many patients ask this question but, in general, it does not work. Of course, each case is different and must be assessed by a surgeon who can examine and talk to you. If, though, one has saggy skin with deflated breasts, then inserting large implants may be an adequate short-term solution but, over time, the implants will drop and instead of having small, saggy breasts you'll have large saggy breasts that are even saggier than before since they weigh more. That is not... more

Alan Engler, MD
New York Plastic Surgeon

I want to end up in the 34F range

Based on your photos it does not appear to me that you need a lift. • A breast implant of any volume will not compensate for a breastlift. If you need a breastlift and your board certified plastic surgeon will be able to tell you this after examining you, a breast augmentation alone will not be satisfactory. Placing a larger breast implant to compensate for not performing the breastlift will make you larger than you may want to be. A larger implant will accelerate the... more

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon

Larger Breast Implants vs. A Lift

From your pictures, you are border line on whether you should have a lift in conjunction with your Breast Augmentation in order to achieve a result of perkier and fuller breasts. An option to avoid the lift is to choose larger breast implants, but there are other techniques available to give you the desired look. A technique I often use is a minimal scar technique called a Circumferential Breast Lift. It's where I make an excision around the areola, then excise a donut-shaped piece of... more

Michael Salzhauer, MD
Bal Harbour Plastic Surgeon

Placing very large breast implants to avoid a breast lift is a very bad idea

With drooping, placing very large implants to "try to avoid a lift" is a bad idea that will meet with failure and conditions far worse than you started with. Ultimately, you will pay far more to correct the situation that won't be the same as if you had undergone the right procedure initially. Most plastic surgeons do perform a breast enlargement and lift during the same procedure. You may want to obtain a few consultations with reputable board certified plastic surgeons. more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Larger Breast Implants to Avoid a Breast Lift

In most cases, trying to use larger implants to fill out loose breasts doesn't last very long as the skin continues to sag. Without an exam, it i shard to offer specific advice but you should see a Board Certified plastic surgeon.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Big Breast Implants and Breast Lift

Hello Kriswill, If you are paranoid about your nipples ending up in some strange postition, then don't get big implants without a lift! It is difficult to give you a truly fair assessment with only photosgraphs to look at, but you will not be happy with large implants overfilling the upper poles of your breast while the nipple and lower breast tissue remain low and sagging. It's a misunderstanding that big implants can some how rotate breast tissue into a higher position on... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Large implants instead of a lift?

If you need a lift, then you need a lift. A large implant will fill out the loos s kin a bit but will also put a great burden on the already loose skin.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Augmentation and Lift

This combination of procedures can be performed together or separately in stages. From the answers you will see variation in whether to do the lift first or the augmentation first. Most likely, trying to do both procedures at the same time will have a slightly higher risk of needing revision surgery.

Jeff Scott, MD
Everett Plastic Surgeon

Large imlants are not the solution to saggy breasts if....

Using a large implant to treat sagging breasts does not usually work. One way to check for yourself is to see where the bottom of your breast attaches to the chest wall. if the breast or if the nipple hang below this point then most likely you will need a lift. This is mainly because the implant usually cannot be placed below the fold of the breast. So, if you simply put an implant and do not do a lift then the drooping tissue will likely be hanging... more

Dev Wali, MD
Los Angeles Plastic Surgeon

Avoid A Lift by Using Larger Implants

If the implants are oversized for your body and for the soft tissue cover of the breasts, you will probably get a fuller but droopier look. Remember how gravity works. My personal preference if we are contemplating a lift and large implants is to do the lift first to get everything properly positioned for the optimum result with implants.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Large Implants

One of the biggest mistakes I see in breast surgery is the placement of a large implant to try to fill out loose skin and avoid a lift. It really doesn't work if your breasts are too saggy. It will ultimately give you larger saggy breasts or breasts that literally fall off the implant when you stand. If you have significant ptosis or sagging, you can only correct this with a lift. The implant is only helpful to add volume, not lift.

Donald Griffin, MD
Nashville Plastic Surgeon

Implants do not lift the breasts

You absloutely cannot substitute a lift for big implants if the breasts are droopy. If you want really big implants (more complications for sure from these), you can do these first then do the lift 4-6 months later after the swelling from the implants is gone. An excellent surgeon will give you a nice lift and good nipple position.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift and augmentation

The best way for any plastic surgeon to guide you would be to see you in consultation, take measurements, and then counsel you. The techniques used will vary among plastic surgeons but it is not uncommon to perform the 2 procedures at the same time in the proper setting. It sounds as though you want to be pretty large breasted so that may help but only an exam will tell. I wish you well. Dr. Edwards

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

Avoiding a lift

It can be said without seeing what size implants it would take to get you to your desired size. It is well known that using a large implant that exceeds your body's tissue to cover it is unadvisable