Do I Need a Lift? and Would a Cresent with Implants Be Enough?

OK measurments. droop 9" so 22 or 23 cm and BWD is 4.75" so 11.875cm (this is home measurment) NOW with the droop do I NEED a lift to have nice perky full breasts (yes a pencil will stay in place under breast) I am 5'4" tall and about 127-132 lbs (depending on time of year) I do not want a fake look but do LOVE the full round look. (Brook Burke is a favorite) 42 years old, 4 children and 80 lb weight loss 16 years ago. used rice sizers 325 and 350 looks great.but I dont know. also doing a TT

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Based on your photos, I vote for a vertical lift with your implants.

I don't think a periareolar lift will lift you enough. If a periareolar lift is asked to do too much, it really flattens the breast and results in a weird, unnatural shape. Think of this as a periareolar lift turning an Egyptian pyramid into an Aztec pyramid. If you were my patient, I would offer an augmentation and a vertical lift with the knowledge that this combination of procedures may require a revision to get it "just right". Lisa Lynn Sowder, M.D. more

Breast lift without implants

Hi Tirby, May I suggest another option. If you just want to be lifted without implants then I would use a technique called the "Ultimate Lift". In patients like yourself, I would take your existing breast tissue and make an internal cone that simulates an implant. Then, I take your excess skin and make 'bra straps' to permanently attach them to your chest muscles so that your lift is permanent. I have found that with patients like yourself that have minimal breast... more

Breast Lift: needed or not

Based on your photos, you will get the best result with breast lift with implants. A vertical mastopexy would give you a nice shape, but of course would mean some scars on the breast. The crescent lift or circumareolar lift is really only a reasonable option in a small percentage of patients who just need a little bit of lifting. Of course, a consultation with a ABPS certified surgeon is necessary.

Laurence Weider, MD

50 reviews

Dallas Plastic Surgeon

Good candidate for breast lift and tummyt tuck

Based on the photos you provided, you are a great candidate for a breast lift and tummy tuck. A mastopexy (breast lift) with implants would provide you with a perkier and fuller look. This procedure involves reshaping and lifting the nipple-areola complex. A tummy tuck would improve the appearance of your abdomen area. This procedure involves rectus muscle repair and removal of the majority of loose, excess skin in the abdominal region. Clear communication with your plastic surgeon is... more

Crescent mastopexy

From your photos, you are on the border between a simple breast implant or a mastopexy with implant. You would get the nicest shape with a mastopexy and a modest size implant but it would involve some scars. As far as the crescent mastopexy is concerned, I abandoned this operation a long time ago and advise against it. It provides virtually no lift to the breast but also it tends to really stretch the areola. I have seen some where the areola turns out three inches or more in diameter... more

Tear Drop Lift is right for you.

You need a lift as part of any enlargement, but do not need a vertical scar component. I perform a circumareolar augmentation mastopexy called a tear drop lift. See my photos to see the great results. A high lateral tension abdomenoplasty will also give you a great shape.

Do I need a Breast Lift?

This is a very common question and most surgeons may have several different takes on the subject. I would say that you are a great candidate for a verticle breast lift with augmentation. The 350-375cc implants that you liked would be a great size to give you the nice round but natural look you want. The crescent lift would be the wrong choice for you. Having the breast procedure in combination with an abdominal tummy tuck would be ideal and you seem to be... more

Erez Sternberg, MD

10 reviews

Jacksonville Plastic Surgeon

Only a breast lift will give you lifted perky breasts

Yes you do need a full lift. Using implants alone will give you volume and may look great in a bra, but without a bra you are only going to see your droopy breasts, just fuller.

Mommy makeover - tummy tuck and breast lift/breast implants

You would clearly benefit from breast lift, breast augmentation and a tummy tuck. As important as holding the pencil under the breast is what is the relation of nipple level to that of the pencil when it is place at the top of the fold. Posting on Realself is not a substitute for a personal face to face consultation with a qualified plastic surgeon. Unless you are at either end of the spectrum it is hard to say whether a crescent, circumferential, lollipop or inverted T breast lift would be... more

Need for Lift Different techniques.

If you want perky breasts, you need a lift. Implants alone will make the ptosis look worse but they will take off some slack. Cresent or donut (circum-areolar) mastopexy may not be enough in your case. Although you can stage these procedures; getting the implants first and after a few months getting a lift; it moght not be practcal or financially feasible for you. The way I would do it is to create the pockets under the muscle, put sizers in the pockets, sit you up... more