Breast Implants: Q&A

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Do I Need a Lift Before Breast Implants? (photo)

I am 45 with three kids and I am 112lbs and 5'3. I want to get implants but i didn't want a lift as I don't want scars and I think it might make my changes of feeling in my breasts go away. I would like some feed back on how it will look if I get round saline 425cc implants. thank you.

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age 35-44 5 ft 0 in to 5 ft 3 in 110-129 lbs

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14 Doctor Answers | Asked by wifey67 in BC Canada

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Risks associated with large breast implants

I'm afraid that we as physicians have failed to properly educate our female patients regarding the many risks associated with large breast implants. Let me start by saying that the larger the implant (425cc are large for your frame and may not even be possible to place without over dissection) the sooner you will need another lift. Implants are heavy. They not only stretch out your tissues, they can also cause chronic pain and even cause rib notching in some cases (very rare). As... more

Simultaneous breast lift and implants considerations

There is no reason to need to separate your lift and implant procedure per se. That's usually only really needed for more complex mastopexies where either more skin or more nipple elevation is required (at least in my hands). For the small amount of movement of the nipple you'd ideally need (<2 cm), I've found the peri-areolar "Benelli lift" with a gore-tex pursestring suture employed can be a very elegant solution. Unlike some of the other responders, I do not... more

Some saggy breast need a lift before implants but not yours.

No, you can squeek by without a prior lift if you have your implants sub-glandular (on top the muscle) and go big enough to fill out all your loose skin. I would choose round smooth high profile implants with a range of 400-500 cc and fill them to whatever it takes to fill up the loose skin. Let your surgeon be the judge of the exact amount of fill. It's like trying on shoes in a shoe store.........you don't know how well they'll fit until you try them on. Your surgeon is the... more

Do I need a Lift before implants?

It is hard to determine from your photos as to whether you need a lift, but the most important factor is where the nipple is located relative to the inframammary crease. If the nipple is at the level of the crease or below the crease some type of lifting procedure is probably indicated. A full consultation with a board certified plastic surgeon will go over all your options, especially your goals and expectations of the final appearance of your breasts. A general rule of thumb is... more

Breast lift

Great question! whether you will be happy with just implants without a lift is difficult to say. However, I would advise that you have the lift and implants done at the same time. Personally, I think the implant size should be a bit smaller, maybe about 350 cc's. A vertical lift should work quite well in your case. The scars typically heal quite nicely . If you do not have lift done and just have the implants placed, you can always have the lift done at a... more

Do I Need a Lift Before Breast Implants?

Great series of posted photos, but iin person examination is still much better than over internet responses. Based only on the posted photos and your limited description I would do a lifting first to achieve a more upright appearance than aadd an implant after 3 months for size, 450 cc HP would be my choice. You can also try to have all done in one operation but again in person evaluation is needed. Good luck.

Do I need a breast lift before implants

It is hard to tell for certain from your pictures, but it looks like your breasts have settled quite significantly. In general if a relatively large implant is placed in a breast that has settled, the result after a few years will be an even more settled breast that lost much of its remaining structure due to the weight of the implant. There is also the possibility of a double contour, one from the implant, and one from the breast that has settled below it. If you don't... more

Do I need a lift before breast implants?

It is difficult to see from your photos where your nipples are and where your breast overhang is in relation to your inframammary crease. Why is this important? Because the bottom of an implant rests at the level of the inframammary crease and it fills out the breast above this level. An implant has a very limited ability to fill out tissue that hangs too low past the crease. And a nipple too low on the breast and below this crease will be so far below the implant "equator" that it may... more

You likely need a breast lift as well as breast implants

If you simply had breast implants, based on the photos provided, and assuming that your consultation/examination was consistent with these photos, you would have some semblance of a "snoopy dog deformity," i.e., a nice perky set of breast implants and the breasts falling off them. Possibly with smaller implants and a subglandular (over the muscle) implant placement you could "get away without a lift", but about 80% of my patients would accept a lift with this presenting appearance, 10%... more

Breast

Hello, From your picture our practice would recommend a breast lift the minimal (periareolar), if you get no lift at all you will have the implant up high and your tissue sagging, giving you the double look. You need to make sure you address your concerns with your PS to make sure you get what your looking for.

Lift and implants

Legitimate question. from the pictures it looks like you could go either way. if you were putting in a small implant probably no but with implants in the range you are asking for you may do just fine with an implant alone. it would have to be placed in a slightly lower position but know that after 6 months or year and the settling process takes place you might first consider a lift. at that point you will probably get away with 1 of the minimal scar procedures. as stated above find a couple... more

Lift or no lift -- you need a formal consulltation

The best solution for you can only be sorted out during a formal consultation. A review of your goals as well as an objective assessment of your tissue is needed. Only general comments can be made at this point. You will have the option of considering breast augmentation alone or combined with a breast lift. Your photos indicate significant breast asymmetry, deflation and sagging of both breasts and it appears that your tissues will stretch easily. These issues will need to be... more

Breast Lift?

The answer to the questions of whether you should consider a breast lift should be based on your objectives. If you are seeking perkier breasts than you want to consider a lift. However, if this is not a major concern for you, then you may be able to proceed without one. Consult with 3 - 4 experienced and expert board certified plastic surgeons to review your options.

Is a breast lift needed with augmentation?

While your breasts have dropped some, your nipple areolar complexes are still in good position and you could conceivably opt to go with a breast augmentation alone. You do have some asymmetry of the breast mounds and may be more prone to asymmetry without a breast lift. A breast lift will be more likely to give you the ability to not wear a bra with certain outfits. That would be harder to do with an augmentation alone . If it is... more