Breast Augmentation: Q&A

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Do I Need a Breast Lift? (photo)

I want bigger, firmer and younger looking breast with the least amount of scars. I am not opposed to a lift if needed. I've been told I am borderline for a lift and I could get nice natural results with just moderate plus silicone implants with dual plane placement and no lift. Would I benefit from doing the augmentation first and then if not happy with the results go back for the lift?

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dual plane lift minimal scarring moderate plus profile

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17 Doctor Answers | Asked by red1 in orlando,fl

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Do I Need a Breast Lift

From the photo alone, this would be a borderline call. The bottom of the areola should be even with or above the breast fold, and although I cannot tell with certainty, it looks like it is right about there. In that setting, unless you are coming in complaining about sagging breasts, I would agree with your suggestion to start with augmentation alone, and think about a lift if needed later on. Thanks, and best wishes;.

Borderline Lift Patients

Any patient in which the plastic surgeon believes that a lift may not be necessary based upon experience with breast augmentation techniques may elect to have the breast augmentation first. It is understood in this case that a breast lift may be necessary in the future.

Several options for breast augmentation and lift

Hello, Thank you for the question and photos. Your best breast result will result from a combination of breast augmentation and lift. A breast augmentation add volume and upper pole fullness. A breast lift reshapes the breast tissue. The procedures are designed to address different issues and one procedure should not be used to address the other. You could certainly choose to get the breast augmentation first and then decide on a breast lift at a later date.... more

Breast lift Needed

Your right breast is larger and has a lower nipple areola complex. It is certainly reasonable to have the implants placed and do the lift as a secondary procedure it needed. I believe that you will want the lift and should consider having it done with the augmentation. Dr. ES

Borderline Breast Lift

Hello, and thank you for your question and photos. It is difficult to see in photos, but I would agree that you are borderline needing a lift. There are many techniques that could be employed here, but my recomendation would be for a subfascial or subglandular augmentation with a high profile if you are trying to avoid a lift and are ok with a larger size, vs. moderate plus profile with a periareolar lift. Best Wishes! Pablo Prichard, MD

Breast lift with implants?

An exam in person is key. Sometimes I can do a circumareola lift for women that do not need much of a nipple lift and when the breast is not significantly droopy. If not, then I move on to a vertical lift. The implant can certainly be placed first, and then a lift done later.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift With Implants?

Judging by your photos, a high-profile implant will likely give you the results you're looking for. You have some very mild ptosis of the breasts but since it is so mild, breast implants should help without a lift. Like you said, you can always go back in for a lift down the line if you're unhappy with the results of just a breast augmentation. An in-person consultation with a board-certified plastic surgeon who specializes in breast procedures is necessary to determine... more

Lift or not

You have some mild ptosis. Here's an easy way to assess yourself. Stand in front of the mirror. Put your hands together, on the top of your head. Now look at the position of the nipple in the mirror. If it's still lower than you would like, and you want it in a higher position - then do the lift. If the nipple position is satisfactory to you on both sides, then you can probably get by with just the implants, and see how it looks.

You do not need to have lift now

Your surgeon is correct. The only thing that I would change is the shape of the implant. I would suggest high profile silicone implant and you can do the lift later if needed.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Borderline saggy?

The photos do show a mild to moderate saggy breast. You also have asymmetry. It would not be unreasonable to have breast implants for many patients with a similar condition. A lift could give you a better long-term result, however. The only way to answer the question for you is to seek out a consult with a board certified surgeon.

Aldo Guerra, MD

55 reviews

Scottsdale Plastic Surgeon

Pseudo ptosis can be treated by a breast implant without a breast lift.

The breasts pictured look saggy, but the areola is in the correct position. A breast implant by itself can make the breast look likes it's been "lifted" without the scars.

Breast Lift Necessary?

Thank you for the question and pictures. Although your concerns about scars are understandable, I would encourage you to make decisions based on long-term contour and breast shape. Based on your side view photographs, I think that you do have a significant amount of “loose skin” of the lower poles of the breasts sitting on the upper abdominal wall skin. This area may continue to be an issue if breast lifting is not performed. Most patients (If properly selected and who are... more

Implants now, possible lift later

I would recommend augmentation first. This runs the risk of having glandular ptosis over the implant, aka snoopy breast. But if the implant is selected appropriately, I would likely choose a high profile silicone, I think the implant will drop after a few months and give a nice result. If not, a lift could always be done later, especially to improve your asymmetry of the larger and lower left breast.

Breast Augmentation and Breast Lift

Based on your photos, you are borderline. You could always have the Breast Augmentation first, and the lift later. Consult with a Board Certified Plastic Surgeon to discuss your expectations and concerns.

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Breast aug with or without a lift

Based on your photos, I also believe you are borderline candidate for a lift. You mentioned minimal scarring. Therefore you should proceed with augmentation at this time and at a later time when breast drop over time consider having a lift. Having a lift will add more scarring than you may like. I would recommend Silicone implants for you but I would use a round implant rather than a shaped implant given the ptosis you already have.

Younger breasts with least amount of scarring

Thank you for your question. It is difficult to advise you what to do with only photographs in this case but here's an opinion for you. If you want larger breasts then you can have an augmentation without a breast lift. The type of implant will vary from surgeon to surgeon but patients with early ptosis (settled appearance) often achieve pleasing and long lasting results with a silicone contoured implant. The expected outcome would be a very natural settled appearance as opposed to a... more

When does a breast aug also need a lift?

I wish I had the ability to see the future sometimes! I see women like you all the time. I think the odds are good that you will not need a lift. Here is what I don't know: 1) position of the inframammary fold (IMF). The breast hides it in your oictures. If it is high you are more likely to need a lift. 2) Breast density. A more glandular breast will fill in nicely whereas a more fatty breast doesn't hold shape as well. 3) Luck in healing. What I... more