Do I Need a Lift to Get Lasting Results with my Breast Augmentation? (photo)

I'm 5'5.5" and 135lbs. I am a mother of three(two are twins) and breast fed all three of them. I used to be a large C to small D and am now a 34B. My BWD is 13cm and I am hoping to at least become a D and would be happy with a DD even. At my one and only consultation I was told that I will need a benelli lift and max of 375cc mod plus profile implants. Do I need a lift to get lasting results? I don't want to have to get another lift in a couple of years, but I don't want scars I don't need

Doctor Answers (18)

No lift, if you want to minize the scar / Levantamiento no es la opcion para minimizar la cicatriz


Knowing that you want to be on the big side, you will not require a lift.  I recommend using high profile implants in your case.  Also a larger size to give you the DD that you desire. This will give you ,your ideal results. I'm not a big fan of Benneli lifts, unless your going from a big implant to a smaller implant.  Remember, the larger the implant size that you choose the quicker you might need a lift in the future.


Good luck and thank you for your question.




Anire Okpaku MD


Para que sus senos puedan lucir grandes usted no necesita realmente de un levantamiento.  Yo le recomiendo los tipos de implantes con proyeccion delantera (high profile) y tambien mas grande para que le de la talla DD que usted desea. Esto le va a dar el resultado ideal. Yo no soy fan del levantamiento “Benelli” a menos que usted vaya de un implante mas grande a uno mas pequeño. Acuerdese de que mientras mas grande el implante mas rapido el chance de que usted necesite de un levantamiento en el futuro.

Suerte y gracias por su pregunta.




Anire Okpaku MD

Miami Plastic Surgeon
4.5 out of 5 stars 25 reviews

Lifts Are Not Always Necessary


While I wouldn't be able to tell for sure without examining you, your pictures seem to indicate that you could wait on getting a Breast Lift at this time in your life. The doctor you choose would be able to tell how much laxity you do have in your breasts, but by appearance alone, it seems that an implant would give you a bit of a lift on its own.

You would likely need a lift somewhere down the road, but if you are not ready for the scarring at this point, an implant placement alone is a great option. Just be sure to see a Board Certified Plastic Surgeon when and if you decide to have surgery.

Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
4.5 out of 5 stars 60 reviews

No breast lift


Although it's not possible to precisely measure from photos, just from the appearance I doubt that you would require a breast lift to be done at the same time as a breast augmentation to achieve a lasting result.  Your nipple position relative to your breast fold is perhaps somewhat on the lower side of normal, but not so low that I would automatically recommend a lift. 


With age, however, your breasts will drop, and the implants may accelerate this natural process.  As such, they will eventually lose their perkiness, and you may benefit from a breast lift in the future, whether this is done as an around the areolar lift, or a lollipop shaped breast lift if things become more droopy.

Samuel Sohn, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 22 reviews

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Breast Augmentation Without A Lift



Thank you for very well taken photos.

If you are not ready for the scars resulting from a lift then 425cc implants under the muscle would provide you with the DD cup and some lift.

However, gravity will take its effect over time and the implants will drop a little but not to a degree of becoming saggy. Eventually, you will need a lift to achieve and maintain a perky look.

Although the photos are good, they cannot replace a physical examination.

Therefore, I encourage you to seek a consultation with a board certified surgeon of ample experience who will assess your current breasts size, the laxity of your skin and will discuss with you what to anticipate from a breast augmentation without the lift (less scarring).

Best of luck to you and thank you for your inquiry.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 125 reviews

If you have minimal sagging and want a large breast size, the lift may be unnecessary.


Your degree of sagging is quite minimal.  To be a D or DD cup size, an implant volume of 450 cc to 550 cc would be ideal.  This is larger than you have been quoted.  My average volume is about 400 cc, and my patients almost never return for a smaller size.  Some wish they had gone bigger.  Better to get the size right in one operation rather than two.


The Benelli procedure is not a good option.  It tends to produce unnatural scars around the areolae and provides virtually no lift.  Many plastic surgeons have been disappointed with the results.


Later, perhaps 5 to 10 years from now, you may benefit from a lift, once you have enough sagging to make this worthwhile.  A vertical lift is best.  There are plenty of examples on my website.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.5 out of 5 stars 36 reviews

Breast Augmentation - is a lift needed?


From the looks of your pictures, it does not appear that you will need a lift now.  A properly selected implant will likely elevate your nipples and restore a youthful appearance to your breasts.  

I would choose an implant size that you're comfortable with based on your body measurements.  The results should be durable without a lift for a time.  However, the larger an implant you and your surgeon choose, the more quickly the tissue will stretch, lose shape and position, and the faster you'll find yourself needing a breast lift to re-elevate things.

Hope this helps,

Dr. Hall

Jason J. Hall, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 3 reviews

To lift or not to lift with breast augmentation surgery



Thank you for your question and photos.

Honestly, you may be able to get away with not doing a lift. This is best determined during the actual procedure when a sizer is placed. Have your consent read: Bilateral Breast Aug. with possible lift. That should take care of it. There should be no extra cost for the lift.

Word of caution: the larger the implant the sooner you will need a lift! Implants are heavy and tend to stretch out tissues rather quickly. Also, make sure you have them placed below the muscle to delay the gradual descent.

Kind regards,

Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
5.0 out of 5 stars 129 reviews

Better surgical planning for breast augmentation will get you better results


Several observations.

1. There is no way you are a true 13cm base diameter based on your photos and frame. You look narrower then that if you were measured accurately

2. You have some degree of volume difference between breasts that will have to be accounted for

3. You have some degree of difference in the position of you Inframammary fold (IMF) and length of skin from the nipple to the IMF

4. The surest way to need a premature mastopexy is to go bigger with you original implants then you need to


My instinct is to tell you to forget about cup size (as that's an arms race to failed surgery and reoperations) and go smaller based on your true measurements with implants 20-30cc different. That will improve symmetry and get you better and longer lasting results. I do not think you need a mastopexy BTW

Robert Oliver Jr., MD
Birmingham Plastic Surgeon

Aug alone vs with a lift?


Based on your pictures and you measurements I would not do a lift but would put in implants much larger than the 375cc implants that you mentioned.

A consult with  Board Certified Plastic Surgeon would help.

Walter D. Gracia, MD
Arlington Plastic Surgeon
4.5 out of 5 stars 3 reviews

Benelli Mastopexy With Implants Vs. Dual Plane Mastopexy


Your photograph show either first degree ptosis (areola at or below inframammary fold) or pseudoptosis (gland only below inframammary fold).  I lectured several years with Dr. Louie Benelli of Paris, France, the man who invented the Benelli Mastopexy.  I have done over 200 Benelli Mastopexies during my career and I love this operation, but I would not recommend this operation for you.  Also, with a BWD of 13cm, you would be better advantaged with a 500cc high-profile implant, then the recommended 375cc.  High-profile will give you slightly more lift than mid-range and a 500cc implant would take you past your requested minimum D size.  For women with early ptosis, such as you demonstrate, I would recommend a Dual Plane Mastopexy, rather than Benelli Mastopexy.  In my practice, the dual plane and breast augmentation all can be done through a transaxillary incision, and the incision is kept small using a Keller funnel.


The asymmetry that your breasts demonstrate may require two different size implants, please choose a board-certified plastic surgeon in your area and allow him or her to assist you in picking the appropriate size for each side.

S. Larry Schlesinger, MD, FACS
Honolulu Plastic Surgeon
5.0 out of 5 stars 227 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.