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What Type Of Lift W/ Implants Do You Recommend? (photo)

asked 7 months ago by mommyboobies in Toronto, ON
Latest answer by Michael A. Jazayeri, MD
Question viewed 684 times
Tags: age 45-54, after pregnancy, droopy, recommendation

I Would Like to Get Breast Lift and Implants. I Am 48 Years Old and Have Nursed 2 children. I am 5' 6" and 110 lbs. I have met with surgeon and he wants to do a lift and 300 cc implants. What type of lift should be done and could I go larger with implants. I do not want any sagging after and I want my breasts nice and tight. Am I too old for implant surgery? Thanks

22 answers to What Type Of Lift W/ Implants Do You Recommend? (photo)

Maybe only implants

It appears as if your nipple is above the inframammary line, thus you are not really ptotic. Tight breasts are for 12 year olds. As you age,breasts droop a little like yours, perhaps only implants will do well. It does not appear as if you need all the added scars of a lift at this time.

William B. Rosenblatt, MD
New York Plastic Surgeon

Breast Implants and Breast Lifting?

Thank you for the question and pictures. Congratulations on the physique you have maintained. The easiest question to answer... you are absolutely NOT too old to proceed with breast augmentation and lifting surgery. Based on your pictures and your description of goals I think a vertical mastopexy (incisions around the areola and vertical incision down the breast) will most likely give you your desired results. The size and model of breast implant used... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast augmentation and lift-what are my options?

You are definitely not old for this type of surgery. Obviously, a physical examination will be ideal, however, based on your photos you may not need a lift. If a lift is required, in my opinion a doghnut lift (the incision is around your areola) will give you the desired result. see video

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Augmentation mastopexy or breast lift after nursing

I generally do a verticle or lollipop lift.. the scar is better controlled than a periareola , i can lift tighter and avoid the un needed scar of an anchor lift

Jed H. Horowitz, MD
Orange County Plastic Surgeon

Breast lift and implants

You appear to be in great shape compared with most women your age who have nursed two children. You are certainly not too old to have breast implants and I think, based on your measurements that 300-330 cc's would be a very good size for you. As you have some sagging, you could probably get away with just a small lift with an incision around the nipple or the 'lolli-pop' lift. If you accepted some sagging after surgery, you may be able to go with just implants using a... more

James McMahan, MD
Columbus Plastic Surgeon

Augmentation without lift

From the pictures I would go with the augmentation without lift.... The lift may offer a better position of the nipple areola complex but it will also offer scars, even in the best of hands... I have had great success using implants and centering the implant in a way as to achieve the perky breasts with a more centered mound. This saves the need for moving the areola, as it moves the "mass" behind it instead.

Alan Weiss, MD
Baltimore Plastic Surgeon

Breast augmentation and breast lift are designed to accomplish different things

Hello, This seems to be a frequent question. Its is important to think of the two procedures as accomplishing different results. Breast augmentation increases volume and breast lift tightens/shapes tissue. You must first decide on the size of the breasts that you want since this will ne necessary to determine the size of the implant and indirectly the breast lift procedure. You will need a circumvertical (lolli pop) type breast lift almost regardless of the size... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

What Type of Lift do I need??

I would recomment a vertical lift with a conservative size silicone gel implant. If you do not want any sag and want a tight, perky look, a vertical lift is necessary to get rid of the overhang of skin and breast tissue. You must be aware that the LIFT is the most important part of the procedure and often overlooked by patients wanting bigger breasts. An implant, although helpful in creating a nicer shape with more volume, is stretching that very skin that we are trying to tighten and... more

Christian Prada, MD
Saint Louis Plastic Surgeon

Breast Lift with Implants

I would side with the majority who believe that if the nipple is at or above the breast fold, a lift is not necessary. A breast augmentation alone is always more predictable and it is easier to hide the scars. It looks like you could go a little larger, such as 325 or 350cc, but I can't say for sure without and exam and breast measurements.

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

What Type Of Lift W/ Implants Do You Recommend? (photo)Answer:

If you truly want breasts that are tight without sagging, then you are going to need a skin tightening procedure, like a lift. Probably a lollipop at the least. I am afraid that if you just do augmentation, you will look good for about 4-6 months and then , the sagging will be back, only worse…Your breasts seem not to have enough support for perky, tight breasts and at 48 years old, few women do…

John J. Corey, MD
Phoenix Plastic Surgeon

Beautiful breasts without implants

FYI, implants with time can distort and stretch out tissues forcing you to require another lift. If increased breast size is not an issue, then please consider just a lift. There's a new technique called the Ultimate Breast Lift that reshapes your existing breast tissue. It suspends them using permanent sutures to minimize downward descent. There are NO VERTICAL SCARS. Breasts are firm and perky just like breast implants. This technique works on all breast types... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Lift and implants

The exact technqiue to offer you really is decided during a consultation based upon the physical exam and your desires. May times I can do a circumareola lift in patients that are not sagging alot. If not, I perform a "lollipop" or vertical lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift and breast implants

Technically you do not have breast ptosis because the nipple is at not below the inframammary fold. Therefore the need for a lift is questionable. On the other hand your areola are large and may appear larger with just implant placement. Another factor that needs to be considered is your current skin laxity/elasticity especially if you have stretchmarks. The type of lift would depend on the amount of skin that needs to be removed and that in turn depends on how the skin shapes around... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Is a lift needed?

I'm not sure you really need a lift as the implant may help to fill you out nicely. If you want a lift I wouldn't think you would need more than a peri-areolar mastopexy. Don't forget that "tight" and "larger" work against each other.

Ronald Schuster, MD
Baltimore Plastic Surgeon

Lift with breast implants

Based on your photograph, it appears you could achieve an excellent result with implants alone. If you wanted them slightly tighter, you could have a donut or Benelli lift, which has shorter scars.

Donna Rich, MD
Houston Plastic Surgeon

Lift with implants will vary on nipple areolar size & position

Hi, You breast would lift some with the implants but not much. The size of you areola is very important in the decision to what type of lift you would like. If you do not mind the position of the nipple areola and the size then all you need is an implant. However, you have moderate asymmetry and the nipple areola complex is quite large. In general a more rounded breast is more aesthetic as well. Therefore the options vary on what you are hoping to achieve. You... more

Kimberley O'Sullivan, MD
Boston Plastic Surgeon

Breast Lift, Breast Augmentation

It's hard to tell for sure from just pictures, but it appears to me that you could get an excellent result from implants alone. You might want to consider this approach. You can always go back and do a lift, but once you have the scars of a lift, you will have them forever. Lifts, especially the bigger ones, are done to take away excess skin. It looks to me like filling the skin you have will look great.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Short scar breast lift (circular scar around the nipples) works very well with implants.

Hi. 1) As you can see there is a range of opinions, which is confusing to you, and I am sorry about that. 2) Just going by your pictures, you do not have a lot of sagging. Silicone implants placed over the muscle will by themselves correct much of the sagging. And the "doughnut" type lift is the safest and very effective when combined with implants. Those are the reasons for my recommendation. (Without implants, we always use the lollipop lift... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Answer to RealSelf.com breast augmentation/lift question

At 48, you are definitely NOT too old for breast augmentation and/or breast lift. The size of implant of 300 cc recommended by your plastic surgeon appears to be very reasonable based on your photographs, although an examination is required for more accurate guidance. A 300 cc implant is not particularly large, however I believe that with the breast tissue you already have this will yield an acceptable and pleasing size increase. Larger implants will only increase the... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

www.seplasticsurgery.com

Breast lifts and implants

You look to be an excellent candidate for these procedures. I would recommend a full lift, not a periareolar one for the best lift and shaping. As for the implants, this would require an exam but 300 cc will look very nice I would expect.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Lift or not to lift with breast implants

You are not too old for implants if you indeed want the fullness, the lift however comes with a trade off. The lift will have a scar, and you must decide if the modest lift of the nipple is worth the effort. Your nipple is above the breast fold and will be pushed upward with the implant. Perhaps implants first and a lift later if you still think its necessary. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

What type of lift

From the photos I personally would recommend a "lollypop" or extended periareolar mastopexy or uplift. I think a 300 cc implant is probably a good size as well. go on line and look at photos of sizes you like who start with the same volume you have now. that would help give you a direction