Lift and Implant Needed? (photo)

I was trying to research what type of surgery I would need. Will I need a breast lift along with my breast implants. I was never really perky and that is what I am looking to achieve. I am currently a 35B and I am 5'2" 115 pounds. I am looking to have a full C cup, but I dont wish to go much larger.

Doctor Answers (17)

Implants without lift

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95% of my patients who have been properly selected for breast augmentation without a lift to address sagging are satisfied with the amount of lift they achieve with implants. The right implants and technique can help you address mild to moderate sagging with breast augmentation alone, by taking into account the size you'd like to be and the amount of lift you require during the pre-surgery planning process.

These three things are considered to help give you the extra lift you require to make your breasts “perkier” without mastopexy:

1) During your breast augmentation, the breast implants will be placed directly under the breast tissue and above the chest wall muscle (in the sub-mammary position).

2) The best breast implants to use for a perkier result contain silicone gel that is more cohesive, such as the Allergan Inspira Truform 2 (formerly known as Soft-Touch gel). These implants are slightly firmer to maintain their shape better, but still retain their natural feel.

3) The shape of your breast implants should have more, rather than less, projection. Breast implants with a smaller base width will make your breasts project more forward from your chest wall and body, creating a more prominent contour. “Profile” is a synonym for projection, therefore look for high profile implants.

Generally speaking, larger breast implants can also help give a better lift, sometimes raising the position of the nipple by one or two centimetres.

Please see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.


Toronto Plastic Surgeon
5.0 out of 5 stars 69 reviews

Perky breasts with Mini Ultimate Breast Lift

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The goal of breast surgery is to achieve beautiful breasts.  Beauty is determined by several factors including breast position on the chest wall, symmetry, skin tone, areola position and volume.  In your photographs, you appear bigger than a B, perhaps a C.  However, your biggest problem is your breasts are drooping.  There is a new technique called Mini Ultimate Breast Lift, which is done using a circumareola incision.  Through this incision, the breast tissue can be elevated higher on the chest wall, displaced more medially increasing your cleavage and the results are long lasting since the weight of the breast is transferred to the underlying muscle.  This will avoid the added weight of implants and their complications and achieve the high perky breasts that you desire.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
5.0 out of 5 stars 129 reviews

Lift and implant needed?

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Yes, I think you need a breast lift and breast implants. Only implants will just increase the volume and not give you any perkiness. The most effective lift for you is with a anchor type of incision.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

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Lift and Implants?

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There is no substitute for an examination but I would think that you will likely benefit from a lift as well as augmentation.  Remember, however, that implants add weight to your breasts and will tend to result in more droopiness over time.  Also, I do not think a lift confined to the area around the nipple is usually effective for breasts with your appearance.  Although no one wants to have a vertical scar it does serve an important function in contouring the lower breast and achieving a better breast shape.

Richard Kofkoff, MD, FACS
Saint Louis Plastic Surgeon
5.0 out of 5 stars 39 reviews

Lift and Implant Needed??

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I think if you had a modest size implant and a peri-areolar lift (incision just around the areola) you would achieve your goal. An actual examination is much more valuable in making this sort of recommendation than is a look at photos. 

Thanks and best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 32 reviews

To lift or not to lift?

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Thank you for your question.  As noted in the other answers, your photographs are great but are no substitute for an exam in person.  Based on your photographs, I think you are borderline with regards to ptosis or sagging.  Depending on your goals, a breast implant combined with a lift can be a powerful tool to help give you a more perky look.  The type of mastopexy (breast lift) needed depends on how high the nipple needs to move and on how lax the skin is.  Be aware that combining a breast lift with a breast augmentation can increase the risk of complications and need for revision surgery.  Make sure you consult with a board certified plastic surgeon and have all of your questions answered before proceeding. Good luck!

Matthew H. Steele, MD
Fort Worth Plastic Surgeon
5.0 out of 5 stars 43 reviews

Lift and implant?

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A small implant and a circumareolar lift may be the solution for you. Of course, an exam in person is necessary to properly evaluate you.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Lift and Implant Needed?

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Thanks for the posted photos but only in person examination + measurements can allow a definitive answer. My guess is a donut lift with larger implant. Goos luck 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Breast augmentation with lift

+1

Thanks for the inquiry and excellent pictures. In my practice I would reccomend a lift with your implant to improve the shape and position of the breast. Please see an experienced board certified plastic surgeon to discuss your choices. 

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 81 reviews

Cosmetic breast surgery

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Since you wish to go a little bit fuller in size, I would likely recommend a breast augmentation with a small implant.  I would need to examine you to determine if a lift would be warranted.   An assessment of your skin quality and nipple position on your chest wall is required to make any recommendations.  Based on your photos, I would likely recommend likely a periareolar lift.   Please visit with a board certified plastic surgeon to learn more about your options.

Dr. Basu

Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 124 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.