Breast Augmentation: Q&A

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Do I Need a Lift or Can I Get by with Just Saline Implants? (photo)

I went and saw a PS last week and she explained to me that she was going to cut and inch under my breast and fold my skin in leaving me with a wedge scar. It scared me and I also was so curious about what the scar would look like, but when I was asking her for some before and after photos, the only photos she was able to show me was of women that had extremely saggy breast with nipples pointing down. I am just wondering if I really need a lift or if I would be satisfied with just implants.

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second opinion without lift

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15 Doctor Answers | Asked by fullboobies in indiana

Doctor Answers (15)
Community Comments (5)

Breast implants with or without a lift

Thank you for the pictures. It really depends on your goals on whether or not a lift is needed. Implants alone will give you a very natural look if that is what you are looking for. However, if you are a desiring a tighter breast pocket around the implant then you may need a small lift. I hope this help you. Kindest regards, Neil J. Zemmel

Getting by with implants alone or opting for a breast lift

There is no right or wrong answer to this. You might be happy with just a breast augmentation, but the skin envelope might be a bit loose and the implants might set slightly low on the chest wall. This can be a very natural look, but many patients prefer more volume in the upper pole of the breast. Whenever I have a patient that is a borderline case like yours, I try to convince them that doing the surgeries in stages is the best option. I would suggest completing a breast augmentation alone... more

Breast Augmentation or Breast Augmentation and Lift

Although you do have an element of pseudoptosis, which is probably more noticeable with your arms at your sides, the breasts would probably do well without a lift. Kenneth Hughes, MD Los Angeles, CA

Implant or lift as well

It looks like from your photos, that you may be able to have implants only , but it is really hard to say without a proper exam. You may need a lift.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

To lift or not to lift?

Although a physical exam is needed to make any formal recommendations, based on your photos alone, I would likely suggest a dual plane augmentation. An implant will likely fill in the deflated breast. However, I would need to access your chest wall, nipple position, and skin quality/excess to tell you if you would need a lift of some form. Please visit with a board certified PS to learn more about your options. Best wishes, Dr. Basu Houston, TX more

Need better photos

Need another photo with your arms down next to you to get a better assessment. However, know that you don't have to do a lift at all and that doing it is your choice. With the amount of sagging you have I would only do breast enlargement and no lift (because in my opinion your not sagging "much"). Your doctor should show you examples of patients who have similar situation to you where he did only implants and ones he/she did implant and lift. Choose your doctor based... more

Andre Aboolian, MD

27 reviews

Beverly Hills Plastic Surgeon

Breast Lift Necessary?

Thank you for the question and pictures. With your arms elevated, the breast position on your chest wall changes. Therefore, it is difficult to give you precise advice. If in doubt, I would suggest that you meet with additional well experienced board-certified plastic surgeons. Nothing replaces an in-person examination and a full communication of your goals. In my practice, I prefer the use of goal pictures to help with this communication process. Often (for patients in a... more

Lift or implants? Or both

Looking at your pictures I suspect just implants would be fine. Your nipple is not really that low and you can see normal breast skin below it which is good. Choosing a slightly larger implant with a dual plane approach would be a good way to offset the minor ptosis in your breast. Remember a small lift can always be done later if you are unhappy with the shape or nipple position, but from what I can see in the photos this is unlikely to be needed. Hope that helps.... more

Mahlon Kerr, MD

17 reviews

Austin Plastic Surgeon

Lift or No Lift

The pictures are helpful. Your measurements would be helpful. Whether you will be happy without a lift is hard to determine. I do not think you will need a lift and if you do then it would be a very small lift. Dr. ES

Lift or augmentation?

Hello. The answer to this question depends on the look you’re going for. If you want to look more youthful with perky breasts that have full upper poles then I would definitely recommend the lift. Just an augmentation would result in more natural looking breasts that most likely sit lower on the chest and wont have the fullness at the upper poles. It really depends on the look you are going for. The trade off with the lift is that they typically result in more scars. Jaime Perez,... more

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Comments (5)

NoMoreBoobEnvy (RealFriend) 19 Feb 2013

I had saggy boobs with extra skin from breastfeeding and went with 457 ccs silicone under the muscle. I cannot be happier! My PS is going to do a mini areola lift in about a month but feel free to check out my pics/profile! You can always get the BA now (I would strongly suggest going bigger than 350 ccs) and then in a few months you can see how they look and evaluate your options at that point. Good luck! xoxo =)

fullboobies 19 Feb 2013

Thank you so much! I too feel I want to go a little bigger but ugh I'm not sure lol. I don't want think they r too small and wish that I would have went a little bigger. He said I should be fine with all the tissue I have now and if I go to big it might weigh them down. I will check.out your pics and go from there. It so hard to decide lol.

NoMoreBoobEnvy (RealFriend) 19 Feb 2013

Yes it is tough to decide lol! Talk with your PS and see how big you can go without looking saggy. :) Keep me posted!! P.S. So many women on this website will tell you they wish went bigger. You can check out my pics .. I can easily disguise my 36D's for my professional job and even in gym clothes they don't look big. ;)

fullboobies 18 Feb 2013

thank you so much! I actually saw my second ps a couple hours ago and he said the same thing. He said my nipples were in good position and a 350 silicone round implant under the muscle would give me a nice natural look. I'm so glad I got another opinion.

mama chichi 25 Feb 2013

I think you are going to have an amazing result. From what I can see, if you had nice shaped boobs from the beginning, you will end up up juicy awesome better-than-before boobs post BA! (that's what I am hoping for myself, anyway...) Long wait for us until mid April! AAauuughghgh!

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