To Lift with or Without Implant? Doc in SF Bay Area?

Mid 30's, no kids, 36 DD, 5'3' 130lbs, a lot of breast tissue; general doc says "Lumpier than most". Consult in '07 said grade 2 ptosis, a donut lift could suffice and implant would help the shape. Not sure about an implant for maintenance, worry, more weight for future sag & fake look. Is it common to remove tissue to put implant in to keep size same? I'm worried I'll look smaller after just a lift AND it will be flat/boxy. I'd like to gain a bit of upper pole fullness but stay natural. Options?

Tags:

age 35-44 DD cup 5 ft 0 in to 5 ft 3 in 130-149 lbs upper pole without implants

Comment on this

8 Doctor Answers | Asked by Newnose33

Doctor Answers (8)
Community Comments (1)

To Lift with or Without Implant

It is hard to give a useful response without some photos to look at. Consider reposting with a front and side view at least. As a rule, it makes little sense to use an implant in a patient with enough breast tissue, and even less to remove tissue and replace the lost volume with an implant. If you are indeed a DD, there is plenty of breast tissue to work with, and furthermore, do you really want to be larger than that? The amount of tissue removed during a lift is usually... more

To Lift with or Without Implant? Doc in SF Bay Area?

Since it has been 6 years I think it's time for another consult! It is a very common part of my practice to remove extra, droopy breast tissue, do a lift and place an implant to give fullness at the top, all at the same time, so that a woman can go from a droopy C or D, to a lifted more full at the top C or D...I usually try and counsel women to not try a DD and a lift...Very hard to keep all of that uphill!!!

DD and Implants with Lift

I wound not recommend reducing the size of the breasts only to add an implant. If you are happy with the breast size, a breast lift will be the best option. The breast lift will not reduce the size of the breasts to any real degree as only skin is removed, not breast tissue. An implant with DD breasts will create very large breasts and may not be the best idea either. Your breasts can be made high and tight with the breast lift alone. Find the... more

Best Breast Surgery for Me?

Thank you for the question. As you can imagine, it is possible to provide you with specific advice and validation. Your best option at this point would be to meet with well experienced board-certified plastic surgeons to discuss your situation and goals. Ask to see lots of examples of their work and communicate your goals carefully. In my practice, I prefer the use of goal pictures when it comes to this communication process. Otherwise, I find that terms such... more

To Lift with or Without Implant?

Without photos, it is impossible to advise. Best to have in person consult and exam. Good luckQ

LIft and implants

It is not common to remove a lot of tissue and place an implant. A lift will require some removal to get a proper shape, and the implant will add volume.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift with or without implants

It is impossible to say without photos what would be the best treatment for you. Adding a breast implant to a lift really allows to get the upper portion of the breast to be full giving the breast an eye catching shape. If you are dead set against implants, fat grafting to the upper part of the breast can help as well.

To implant or not to implant

Hi Newnose33, Without photos or a physical exam, I cannot give you a definitive recommendation, however, based on your description I can give you certain principles to build upon. First of all, it sounds like your breasts have significant volume, you are a DD. At this size, it is practically impossible to give you a fake look. You have enough volume that you should have a natural look regardless of whether implants are used or not. Secondly, I am a... more