More Sagging After Augmentation??? Do I need a Lift?

I have met with my PS and look forward to setting a date. I forgot to ask him 1 question, which I will do but wanted to put it out there for other professionals. I am 52, mother of 2 grown children, did not breast feed. Currently a size 36 small B and the PS thought silicone under the muscle at 350 or 375cc to make me a small D would compliment my figure. Since I am somewhat "saggy" will having just implants be large but still "saggy". Do I need a lift as well????? Hoping not but am open.

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15 Doctor Answers | Asked by Baystater in Western MA

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Candidates for breast lift

Based on the photos you provided you look like a good candidate for a breast augmentation. You may benefit from a limited lift to improve the asymmetry of your breasts. This involves implants and an incision around the areola or a vertical mastopexy. Communicate your overall goals with your surgeon to ensure the best results possible. On this site, I do my best to give advice without a physical examination but I want you to know that a physical examination by a certified physician... more

Too large an implant will make breast sag worse

I do not believe that you need a lift. You have a slight difference in breast volume and shape that your surgeon can adjust with a slightly smaller implant on the left and perhaps a circumareolar mastopexy on the left.. However, I would encourage you to think of sublglandular implants, which will sit better just under your breasts and not be too high, and I would encourage you to back off on implant volume--to 250 or so.. At 350-375, your breasts will react to the weight over... more

Breast augmentation with a lift

Judging from your photos, it is possible that a periareolar mastopexy may be needed to postion your niplles properly after the implants are placed. One of the ways I handle this in my own practice is to use a lower areolar margin incision for the augmentation and extend it to a periareolar incision if the lift is necessary. This is all discussed with the patient before surgery. Also, it is not really possible to accurately predict cup size before breast augmentation. If... more

Periareolar lift with implants

I would also say that you could do an implant alone but for the best result with almost no scar and better symmetry, I would suggest a periareolar lift also. There are lots of photos of these on my web site and you can barely see a scar. Good luck.

Breast lift at the time of augmentation

Dear Baystater, In your first picture, your left arm is out to the side much more than the right, and this seems to accentuate the asymmetry you have. In the third picture it still seems that your arms are not exactly out at the same level. This is a good example of why it is difficult to give 100% accurate advice online, and why seeing and discussing these issues with your plastic surgeon is the best thing to do. Having said that, it does appear that the left... more

Augmentation Without Lift

In your photo, it appears that your nipples are located above the inframammary fold which is the most important criteria for determining whether or nor you "need" a breast lift. It is important that the implants are the proper size and are placed precisely, but I think you can get a nice result with an augmentation alone.

Augmentation and breast lift

The photos suggest that 350/375 cc implants should be able to fill out the minor degree of 'sagging' that you have. There is also some minor asymmetry of your breasts - this will be difficult to correct without a small lift. If you do not mind the small difference between the nipple positions (after all no human being is perfectly symmetrical between the left half and the right half of their body) then just an augmentation should do fine.

Anindya Lahiri, MBBS

4 reviews

Birmingham Plastic Surgeon

Augmentation will increase breast size but not improve the nipple placement.

Augmentation will increase breast size but not improve the nipple placement. A slight lift will help the nipples appear higher. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Breast augmentation together with breast lift

Your posted photos show a lot of skin stretmarks and asymmetry with the left nipple lower and further from the midline than the right and the left areola larger than the right. It does not look like you need a lift perse but you will need a skin procedure to make the nipple areola complexes more symmetric. Just putting implants in may make the asymmetry greater. You also need to realize that you have a lot of stretchmarks on both breasts. These may become more visible after breast... more