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Saggy - Could Breast Implants Lift my Breasts Enough That I Won't Need a Lift Also?

asked 10 months ago by Eight is Enough
Latest answer by Tom J. Pousti, MD
Question viewed 1,972 times
Tags: breast feeding, sagging, opinion, perky

I have had 5 kids and breastfed all of them and it shows in my breasts. I would like to get a lift but I am concerned about the cost (double of implants), recovery (more complicated procedure), and scars (anchor shape under breasts). Are implants a possible solution for higher fuller breasts? I am a small 36C with cylinder shaped breasts. I would not mind doing larger but I really want more perkiness and shape! Can implants make me perkier and rounder vs. tube-like?

19 answers to Saggy - Could Breast Implants Lift my Breasts Enough That I Won't Need a Lift Also?

Breast lif or augmentation or both

If you are worried about the anchor scar (which is usually very inconspicuous when healed) you can probably get a look close to what you want with a periareolar lift (which would reduce your areola to a more usual size) and implants. That should cost about 50% more than just implants. But after looking at you photos, I doubt an implant alone would be a good idea. Getting good results with the periareolar lift requires a surgeon experienced with that technique and comfortable doing it. more

Ronald V. DeMars, MD
Portland Plastic Surgeon

Breast Lift versus Breast Implants

Unfortunately, a breast lift is your best option. It would not only lift your breast, but also decrease the size of your nipple areolar complexes. You could certainly add an implant, as well, if you would like to have larger breasts. The recovery is similar to that for a breast augmentation.

Donna Rich, MD
Houston Plastic Surgeon

Breast implants don't lift breasts.

If breasts sag, they need to be lifted prior to inserting implants. Breast lifting does require scars on the breast. However there is no way around it. Any short cuts have unsightly consequences. Price issues should not dictate choice of procedure.

Vasdev Rai, MD
Dallas Plastic Surgeon

Implants do not lift breasts!

You have bilateral grade 3 ptosis, which means your nipples are lower than your inframammary creases. They also point downwards and your areolas are quite large. You absolutely require a lift to achieve any sort of breast shaping, and the large areolas can be made smaller, but the residual pigmentation may remain on the lower areas of the new skin brassiere. In my opinion, any sort of modified lift (periareolar, lollipop, vertical, short-scar, or other "exotic" technique) will... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Do not do implants only

Your breasts are too ptotic, droopy, to have implants alone. I believe you would be extremely dissapointed.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

A Breast Lift Is Severely Needed

While there are some cases where an implant may help provide a little bit of a breast lift effect, your breasts are far removed from that potential effect. With the very large areolas and the sagging of the nipples way below the lower breast crease, an implant alone will only make your breasts look worse. While you understandably do not want breast scars, they are the only option you have if you want any hope of breast shape improvement.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Breast Lift for Breasts

I would absolutely NOT correct your problem with implants alone. It would only make your breasts worse. You will need a good evaluation by an experience board certified plastic surgeon. Most likely you would require an anchor lift and implants. The large size of your areola would need reduction and this can further complicate your surgery. If you smoke you must stop.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Shape

You will be very unhappy with just an augmentation,you will get a rock in a sock look. i really suggest a lift as well

Jonathan Saunders, MD
Newark Plastic Surgeon

Will Breast Implants Alone Give Me a Lift?

In particular patients (those women with very little sag), breast implants alone can lift the breasts adequately to give you a very nice aesthetic result. Based on your picture, I would strongly recommend a breast lift (Lollipop/Vertical Lift should work nicely) to give you a perkier breast and smaller areolae. An implant, in addition to the lift, will give you some volume, particularly up top, to furhter enhance your overall result. The cost is unlikely to be double the... more

Louis DeLuca, MD
Palm Beach Plastic Surgeon

You just can't do without a lift

For some a breast breast lift is 'optional' and for others implants alone just will not work. Your nipple is so large that a vertical or 'lollipop' style lift will be needed, and a moderate implant to fill. The cost need not be twice as much, and you may wish to consider a second consultation. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Lift with implants

One can achieve some lift with high profile implants.Your case is far from simple and is not amenable to a simple breast augmentation.

Jay M. Pensler, MD
Chicago Plastic Surgeon

Implants vs lift to correct saggy breasts

Thank you for your photo. An augmentation will make yor breasts worse. You have huge nipple areolar complexes and an augmentation will further enlarge them. I would do a 2 stage procedure: 1. a short scar breast lift with areolar complex reduction in size and 2. an augmentation 6-12 months after the lift if you would like to be larger. See a board certified plastic surgeon for a thorough consultation. Good luck.

George Marosan, MD
Bellevue Plastic Surgeon

You will need to have lift

I would agree with Dr.Sorokin. Your decision should be based on what is your expectation and what procedure will give you the results.Breast lift will give smaller areola,higher nipple position and perkier breasts.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Some breasts just need a lift...

Thank you for the photo. Your breasts will look worse, not better, if you simply choose to get implants. Many ladies come into the office with the same exact concerns that you have. They do not want scars. Lifts are more expensive. They are afraid of the recovery. That being said, an implant alone will not "lift" the breast when the nipple is lower than the level of the crease like yours are. You need a lift to remove excess skin and tissue... more

Evan Sorokin, MD
Cherry Hill Plastic Surgeon

Do you need a breast lift?

Thank you for your question and posting your photos. From the photos, it looks like you will need a breast lift - I do not think you will have a nice result with just breast implants. The breast lift will improve the placement of the nipple/areola complex on the breast mound and give you a "perkier" look. I would want to examine you in person and see what your goals are before discussing doing the breast augmentation / lift procedure in 1 stage or two. If you... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Implants alone without mastopexy

There is no question that a breast lift (mastopexy) will be required for you to get a nicely shaped breast. An implant alone will not correct shape or sag of the breasts.

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Implants and sagging breasts

If your nipples and areolas sit below where your breasts attach to your chest wall, breast implants will give the sock in a sock appearance. Judging from the photo, you need a breast lift to re size the areolas and move them to or above the level where your breast attached to your chest wall. The addition of implants will give you additional fullness to the upper chest wall. Do not settle for less or you may be disappointed.

Joseph N. Togba, MD
Oakland Plastic Surgeon

Breast implants DON"T lift the breast

Implants can give you more upper pole fullness but they won't do anything positive as far as lifting or reshaping the breasts. Especially from your starting point you really need both procedures.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Will implants lift your breast?

You definitely need a lift with or without an additional implant. If you are happy with your cup size but not shape than a lift is all you need. If you would like to be bigger, even if just a little bit, in addition to improving your shape, than you will need an implant. I agree with other responders that implants do not "lift" a breast. In some breasts however where simply volume is lost and the nipple "looks" a bit low, adding an implant will fill the breast out and... more