Breast Augmentation: Q&A

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Do I Need a Lift With BA For Fullness? (photo)

I'm 23, 5'5 and 145lbs. Would like more fullness at the bottom of my breasts and, well, larger breasts. Do I need a lift as well as a ba? Or would overs help fill out the bottom part of my breast enough? Thanks!

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13 Doctor Answers | Asked by tinaham

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Breast implants alone can give you a nice result

Although your pictures are not a replacement for a proper examination, from what I can see it appears your nipple sits above the breast fold. You do not need a lift. Would a lift give you a nicer result? Possibly. I would show a patient what a lift does and let her decide if it is worth the scar and extra cost. Going purely be the pictures provided, I would start by offering a breast augmentation alone and the placement above or below the muscle would depend on... more

Breast Augmentation or Breast Lift With Implants - What's Best For Me?

Your pictures indicate that your nipple is above the inframammary fold, and therefore I feel a breast lift will add unnecessary cost and scarring in a 23 year old chest. The lower pole of your breast should be outside or over the pectoralis muscle, therefore allowing the volume of the implant to lift your nipple up and your entire breast away from your chest wall. The upper pole should be underneath the pectoralis muscle to increase the chance of keeping the breast softer and... more

Breast lift vs Breas Augmentation

Breast lift procedure (mastopexy) and breast augmentation are separte procedures. Mastopexy removes excess breast skin, repositions breast tissure and raises the nipple areola complex whereas, breast augmentation increases the size of the breast. An examination by your plastic surgeon will determine which options are most appropriate.

Implants or implants plus lift

From your pictures, it looks to me like just implants will provide the fullness you want. BUT pictures are no substitute for a personal examination and discussion of your goals. So you need to seek a consultation with at least one board certified plastic surgeon. You should feel comfortable with the one you choose to do your surgery and can communicate with him or her easily. Good luck to you.

Breast Lift May help but may not necessarily be required

While a physical examination and speaking with a patient about her lifestyle, lifestage, and goals are far superior then photos viewed online, a breast lift may improve the overall result but may not be required to produce pleasing results.

Breast augmentation without needing lift

From the photos it may be possible to give you the fullness you desire with breast implants only. The result will be very natural looking. If however, you want the big "fake" look that will not likely happen. A full consultation and examination is required with a surgeon who understands what you desire.

Breast lift and augmentation

Thanks for the photos. AS you know you have asymmetry of your breasts. If you want more volume, implants will be necessary. You may also consider an areola reduction which may be all that you would need to improve the appearance as well. An exam would be essential. good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Lift plus breast augmentation may give best result

While lift alone may improve the shape of your breast and augmentation alone may improve the upper pole and volume of your breast, the combination of both a lift and augmentation may give the best results. It really depends on what your goals and expectations are for the surgery. good Luck.

Breasts Lift “Necessary”?

Thank you for the question and pictures. Although definitive advice cannot be given without direct examination, it appears from your pictures that you will likely have a very nice result from breast augmentation only. If, on physical examination, it becomes clear that you have some “skin on skin” along the lower pole of the breast/abdomen, then breast lifting and may be helpful. Again, based on your pictures alone, I think you should do well with breast augmentation... more

Augment alone will provide a good result

I do not see you as a candidate for a breast lift. An augment will add fullness and correct the amount of ptosis that you have. See a board certified plastic surgeon in consultation because augmentation involves a lot to consider-implant size, profile, texture, type, placement, and incision location. Best of luck.

Augmentation alone should be fine

Based on what I see in your photos - mild ptosis with the nipple-areolar complex positioned above the inframammary fold - I feel you would get a very nice increase in fullness AND correction of the drooping with a breast augmentation alone. Discuss options for incisions, implant pocket, fill material, and implant size and style with an experienced, board-certified plastic surgeon.

Breast augmentation and lower pole fullness

Some women's breasts look ptotic because they have stretched out and have excess skin in the lower pole. Others have downward pointing, low placed nipples because they have too little skin between the crease and the nipple and this pulls the nipples down. You look like you might be one of the second group. If that is the case, an implant will give you lots of upper pole fullness but not as much lower pole fullness. Please seek expert in person consultation for an... more

Is a lift needed

Is difficult to make any recommendations based on your photos posted. However, your board certified plastic surgeon will assess your entire chest wall and will take measurements of your chest wall to determine if you would need a lift. Best of luck.