Breast Augmentation: Q&A
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Do You Recommend a Lift Or Can I Do With Only Implants? (photo)
Full C want DD - would I need a lift too or would the implant correct the sagging? I also want them closer together, as of now my nipples kind of look AROUND you, hah.
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32 Doctor Answers |
Asked by
Wartooth
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Lift vs Implants or both?
Your first comment is you want to increase to a DD. This can only be done by adding volume, ie an implant. If you add additional volume to your breasts they will weigh more and will sag more. To get your nipples closer together would require a lift so there would be more visible incisions associated with that. A lift and an augmentation can be done at the same time but you must realize that lifting a heavier breast can result in poorer scarring and re-sagging of the...
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Lift vs. Implants alone?
First of all, any plastic surgeon who sees you should listen carefully to your goals. You want larger breasts (by a couple of cup sizes), so that requires implants since NO lift adds volume. You want your nipples to be closer, but implants (even if they were placed slightly more lateral) will not move your nipple/areola complexes closer together. Repositioning your nipples slightly more towards the center can be performed as part of a breast lift, but that requires more incisions, more...
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Breast implants with lift
Great question! This is one of the most commonly asked questions in my practice. It's very important to realize that implants alone will not lift your breasts. If you want to correct the "sagging", and you want your nipples closer together, then you will need a lift. And if you want to increase your cup size, then you need implants. Breast lift and implants can be done at the same time, or at separate operations, depending on your goals. I highly recommend you meet with at...
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Lift and Augmentation will be the likely recommendation
During an in person consultation, the surgeon will explore your objectives. To achieve a more perky look, you will need a lift in addition to an augmention, which will provide you the volume increase you seek. Consult in person with 3 - 4 experienced and expert board certified plastic surgeons to explore options consistent with your objectives, lifestyle, and lifestage.
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Implants alone are NOT enough
You will need a lift because your nipples are pointing down and out and are not at the ideal location which is halfway between your shoulder and elbow. The best approach would be circumareolar. Through this approach you can have implants placed retro-pectoral, your breast mound moved up on your chest wall and your nipple elevated on the skin level. The implant, your breast tissue and nipple all have to be aligned in the same horizontal plane. If you just did implants,...
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Breast lift with implants
If you want the shape of your breasts perkier and not pointing lower and outward, then you will need a lift at the time of implant placement to correct that. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.
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Breast Implants and Breast Lift
Hello Wartooth,
You've been blessed with 28 reponses from the experts; I've never seen so many!
Let me summarize the information you've been given:
1. You'll need implants to give you the size change you are looking for.
2. Implants wont even remotely lift your breasts or significantly change your nipple position, no matter how big the implants are.
3. You'll need a mastopexy to lift your breasts and nipples into a position we are all assuming...
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Only implants or a lift
The shape you are after will only come from a lift moving the nipple up and in. You can get the volume with an implant, but the lift will help too. If uncertain or concerned about scars you can start with the implants and lift at a later time.
Best of luck, peterejohnsonmd.com
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Nipple Location Dictates Need For Lift
If your nipples are located below the inframammary fold, you would benefit from a breast lift. Otherwise, ypu are likely to obtain a result with which you are pleased with implants only. I cannot be certain from your photos exactly where your nipples are in this relationship. On the lateral, they appear above the fold, but on the anterior view they seem below.
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Lifts for shape- Implants for volume!
Simple rule of thumb;
1- If you want more volume, get an augmentation
2- If you do not like your shape, get a lift.
3- sagging breasts do not lift with implants - they become larger sagging breasts!
For you, it looks that your nipple areolar complex may be below the level of the inframammary fold, this would suggest the need for a lift.
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C to dd
A lift will not supplement the volume of the breast. If you want an increase in size this will require an implant. As far as a lift and nipple position,there will be new scars on the breasts. If the the scars are acceptable the nipple position can be changed.
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Lift vs. Augmentation
Looking at your photos, if you are accepting of scar, it looks like a lift will accomplish your desires for increased fullness and more centralized nipple position. Augmentation will provide fullness but will not raise your nipple position adequately.
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Breast lift
In my opinion what you "need" depends a lot on what you "want". I have had patients with a similar appearance to you have a satisfactory result with just augmentation. Some patients who desire more change with the nipple position require a lift. Sometimes I think it is OK to settle for a little less perkiness to avoid the scaring that comes with a lift. Even though I do most of my augmentation and breast lifts all at one surgery in you in might be...
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Implant vs lift
Hi. I think you need a better and attractive shape and that will happen only with a breast lift ( mastopexy) and implant will give more volume.
UAE Plastic Surgeon
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Breast Augmentation VS Lift VS Breast Augmentation with a Lift
A Breast Lift does not add volume to the breast. If your stated goal is to have larger breasts then breast implants will need to be added. However, with your extent of breast sagging, attempting to do the lifting with a very large breast implant s a common mistake which always fails. In advanced breast sagging a breast lift needs to be done. I would recommend either a breast augmentation followed by a breast lift or by a combination breast augmentation with a lift.
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Do You Recommend a Lift Or Can I Do With Only Implants?
If you are looking for a breast that is higher and less overhanging and a nipple position that is higher, then you need a lift. If that is true, but you also want some increase in size, OR upper pole fullness that a lift will not give you, then you need implants as well. Implants do NOT lift the breast, they fill them out WHERE THEY ARE. The problems with implants in patients that have overhanging breasts is that the implant rests up higher on the chest, with the bottom of the...
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Lifting breasts with implants
In truth, the answers to your questions are in this blog. Yes, you would need both a lift and an augmentation. I would likely use a "lollipop" incision around your areola and down. The size of implant used determines the amount of loose skin that can safely be removed. In time, fat grafting may be used, but the jury is definitely out. The biggest error that can happen, in my opinion, is excessive skin removal leading to breakdown and implant infection. Many feel that doing...
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Breast augmentation with a breast lift
Your nipples appear to be below the level of your inframammary crease. This means that there is excessive vertical length of the breasts. The only way to give you a nice result would be a breast lift. It would be possible to give you an improved appearance with or without implants. If your desire is to be a DD size then an implant in the 350 cc range would achieve your goal. I would caution against going excessively large the implant since it will only add...
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I think you would benefit from lift.
Several of the doictors have described why we perform lifts. If you were my patient I would strongly suggest a lift to elevated the position of your breast mound and nipple areolar complex. Good luck
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Breast Lift and Implants
Breast implants alone won't do it. Of all the procedures we do on the breasts, augmentation with a mastopexy (Breast Lift) can be the most challenging , both for the patient and the surgeon. Your tattoos add an interesting twist. The final decision is between you and your surgeon. With your size I would advise that you go in stepwise fashion doing the lift first then the decide on the augmentation. You can use the tattoos to your advantage by covering the scars with...
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Breast lifts vs implants
Realize that your anatomy dictates what you can and cannot have. Implants alone WILL NOT LIFT YOU but will just make you a bigger version of yourself. A lift will elevate the nipples and reshape and tighten the breast but not make it bigger. You probably need both and wanting to go to DD, you might be wise to do this in 2 stages.
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Implants only, Lift only, or both?
Hello,
Implants are designed to add volume, breast lift procedures are designed to shape the breasts. Consider what is most important to you. You will definitely need implants since a lift will not add any volume. You will also need a lift since implants do not "lift" the breasts.
All the best,
Dr Remus Repta
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Definitely a lift
Your sagging will definitely require a lift. A very large implant might fill out some of the extra skin,
but you would be so large that you would be way out of proportion. The lift will allow you to
re-position the nipple where it should be and to remove the excess skin to tight the tissues,
pushing your breasts back up on your chest where they should be. The trade off is a scar around
the areola, a vertical scar from the areola to the fold of your breast...
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Breast lift, breast implants or other options?
From your pictures, it appears that you are an ideal candidate for a pectoralis sling modified vertical breast lift and fat grafting. In this way the most beautiful and natural appearing breasts can be created without any implant associated problems. The pectoralis sling modified vertical lift is a technique that allows reshaping of your breasts creating fullness in the upper pole (top of the breasts) by using tissue that is normally thrown away in a vertical breast lift. ...
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Sagging
Your breasts need to be lifted ideally. The main problem in your particular case, however, is that the skin removal from a lift might involve removing parts of you chest tattoos which you might not want. You can find this out by going to a plastic surgeon and having him or her mark out exactly where the scars would be. I think the size of your breasts would be satisfactory without implants. Performing a lift and placing large implants at the same time could be asking...
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Implant or lift
Pick your priority - correct sagging (which isn't so bad considering the size of your breasts) or size. I Your breasts are never going to look "lifted" if you want to be a DD. To get to a DD from where you are now I think will take an implant of at least 450 cc, which you could handle without a problem. However, it is gong to add weight to your breasts and will not allow your breasts to be "lifted". When you refer to "lifted" as really your nipple position,...
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Implants or lift?
Without seeing you in person, is it impossible to give you specific advice. However, I would likely advice a combination of an implant plus a lift to achieve the best result. Special care would need to be taken to help minimize any distortion to your tattoo.
Good Luck.
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Do You Recommend a Lift Or Can I Do With Only Implants? (photo)
Thanks for posting the photos. You have a few issues. The tattoo location, a questionable need of lifting vs implants or a combination. Over the internet we would be doing you a dis service, best is in person evaluations. My GUESS is a small implant with a donut or l-shaped lift.
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Who needs a lift?
Lifts help to lift up breast tissue. Implants make breasts larger. Many ladies try to avoid lifts due to the scars, the recovery, and additional expense however often this is a big mistake. While it is impossible to do a consult over the internet without an exam, from the photo you shared it appears that you DEFINITELY need a lift. Most ladies would be unhappy with bigger droopy breasts and that is what is likely going to happen if you just get implants. I...
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Breast Implants Vs. Lift
Adding weight to your breasts by placing an implant alone will cause your breasts to move lower. If you desire more fullness in the upper half, and a more uplifted look then a lift will be your best option, with or without implants.
The scar wil be a tradeoff for the imporved shape, however.
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Implants should do it
From your side view it seems that your nipples are at the right position, and therefore an implant only should do the trick. A breast lift (mastopexy) is done when the nipple has fallen below the breast fold (the crease underneath the breast). Your nipple and areola seems to be well above the fold. Therefore, placement of implant only should do it. With the appropriate dissection, a better cleavage can be obtained. However, even though the nipples will apear...
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Breast Augmentation and Lifting?
Thank you for the question and pictures.
Generally, it is difficult to give you good advice without knowing exactly what your goals are. However, based on your pictures and description of your breasts and nipples/areola, I think you will benefit from breast augmentation and breast lifting. If you undergo breast augmentation only you will end up with larger but low breasts or a situation where your breast implants sit higher on the chest wall and your breast tissue...
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