Breast Augmentation: Q&A

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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

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18 Doctor Answers | Asked by mom2twinsplus1 in Fort Worth, TX

Doctor Answers (18)
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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... more

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... more

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... more

Breast Augmentation Without A Lift

Hello, 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... more

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... more

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... more

To lift or not to lift with breast augmentation surgery

Hi, 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... more

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... more

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.

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,... more

Breast Lift Needed?

Thank you for the question and pictures. I think your breasts are in a “borderline” position. This is why a careful physical examination and a full communication of your goals will be necessary to provide you with good advice. Keep in mind that the pictures you have provided with your arms elevated, show the breasts in an elevated position (because of the arm elevation). On your side views it does appear that you have significant lower pole skin/breast tissue present;... more

Do I need a lift?

Judging by the photos you provided, I don't think you need a lift of any kind at the moment. Whether you will in the future we won't know until a few years have passed. It seems to me you will do well with just an augmentation at this time which will restore the volume you have lost with pregnancy. There is a small size difference and a difference in nipple position, both of which seem relatively small. I would favor silicone gel implants for you since the feel more... more

Ralph R. Garramone, MD

7 reviews

Fort Myers Plastic Surgeon

Augmentation with or without lift

Hi, from your pics it looks like high profile implants of the right size may be enough to achieve what you are looking for, without the need for a lift and the scars associated with it. please consult with a qualified plastic surgeon to discuss your options with regards to your goals.

Is a breast Lift needed for lasting augmentation results?

It would be nice to avoid a lift and the associated scars at this time. Your breast pockets appear small and with good skin. You will most likely get the lift you need at this time with an augmentation alone. A minor lift now does not prevent you from needing a lift in the future and, in your case, does not give you significantly longer lasting results, precisely because the lift would be so minor. A couple of things to know if you go with the augmentation... more

Lift and augmentation

WIthout an exam it is difficult to say what would work for you best. A lift may need to be revised several years later, but that depends upon the quality of the tissues. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Augmentation +/- lift

Thank for your question and the photos. The decision on whether you need a lift or not depends on severe factors; elasticity of the skin, breast measurement and the shape you desire. That's why in person consultation would give you a better answer to your questions. You need to photos of patient who had augmentation with and without lift, convey what you want very clearly to your plastic surgeon and then make a decision.

In all likelihood the Benelli-style lift is probably optional at the time of breast implant placement.

Thank you for your question. In all likelihood the Benelli-style lift is probably optional and up to you. You are smart to consider, "Do I need a lift to get lasting results?" This is an important consideration. As long as you can tolerate the circumareolar scar, then the lift will likely give you a more longlasting result. Also, saline implants are heavy and will drop quicker and cause more strain on your tissue. Discuss all these details with the board-certified plastic... more

Implants - With or Without a Lift

In SOME cases, with just slight sagging, an implant alone, without any additional mastopexy, may lift the breast. However, women often notice a decrease in size (most noticeable in the upper and outer portion), so sometimes the breast augmentation is combined with the breast lift. For an augmentation along, you'll also need to take into consideration the weight of the implant and whether the additional weight on the chest may accelerate the rate of ongoing breast ptosis, particularly if... more