Breast Implants: Q&A

Ask a Question

Implants with No Lift...? (photo)

I am scheduled to have a BA on October 24th & have chosen 375cc Saline filled to 410 on one side and more on the right, under the muscle, nipple incision. My doctor does not think I need a lift. I consulted with another doctor who recommended a crescent lift, but ultimately decided I don't "hate" the shape of my current breasts and will be okay with larger versions of them. Am I crazy to think this?

Tags:

Comment on this

17 Doctor Answers | Asked by Melymel2305 in San Francisco,ca

Doctor Answers (17)
Community Comments (3)

Happy With Breast Shape!

Ultimately, if you are happy with your breast shape and nipple position, then breast augmentation alone should suffice. The reason you are getting two different opinions from your surgeons is that your breast shape and nipple position in your photo show some minimal degree of breast drooping and asymmetry of nipple position. This would normally be corrected with a breast lift, while the size would be corrected with augmentation. Both surgeons have good reasons for their... more

Breast Implants and Lift

Although breast implants and a breast lift would provide better results, breast augmentation can be performed first and a breast lift can be performed later. Kenneth Hughes, MD breast implants Los Angeles, CA

Breast Implants with Lift

It seems that your breast shape would be much better with an implant and lift. Your breasts will sit low without a lift, and most patients would be unhappy with that shape. Patients would much rather have a nice shape and more incision than the alternative.

You definitely need a breast lift for optimal breasts shape

Hello Thank you for the question and photos. There is no doubt that to achieve an optimum breast shape you will need some type of breast shaping procedure. The ideal breast shaping procedure for you will likely be a circum-vertical breast lift. I am fairly confident that implants alone will not result in a good breast shape for you. My recommendation at this time is to get additional consultations with well-trained board-certified plastic surgeons. All the... more

Lift or no lift

I happen to disagree with both surgeons. I am sorry to add confusion to the issue, but I feel you need a lift and a smaller implant. In your case, I think a crescent lift will be worthless and that you need a vertical lift, sometimes called a lollipop lift. Granted, there are more scars, but the shape of your breasts will be much better. Look for a surgeon with plenty of experience with all types of lifts. It sounds like the ones you saw may not be comfortable... more

Implants with no lift?

With your arms raised they still look low. It looks like you are probably a good candidate for a lift with implants. You might be a good candidate for a circumareola lift, but an exam in person would be essential to give a more accurate assessment.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift and Breast Implants

Hello, With the exception of one, nine other surgeons cautioned you regarding augmentation without lift. Further, they cautioned you that a crescent lift is no lift at all. I am the tenth surgeon to echo those sentiments! It is very nice that you are happy with the shape of your breasts, but you are mistaken to think that breast augmentation without a lift will simply make them a larger version of what you have now. I am concerned about the surgeon you have... more

Adding breast lift with augmentation

Just based on your single photo alone suggest that you will benefit significantly with breast lift. However, if you are unwilling to accept any additional scarring due to breast lift then you can go ahead with augmentation alone. Just be ready to accept that your breast shape may not be the most aesthetically pleasing after augmentation alone. You do have the option of doing breast lift (mastopexy) later should you wish to further enhance your breast shape. I wouldn't recommend a crescent... more

You can get better result with full lift

You need to have lift. If you like your breast shape now,you will not be happy with implants only. The position of your nipple and shape of your breast tissue require full lift .

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast Augmentation Alone or Breast Lift Necessary?

As you can imagine, it is not possible to give you precise advice based on the single view photograph. However, based on this photograph, I think it is not likely that you will be please with the results of breast augmentation surgery alone; personally, I would not offer this operation to you. Be very careful with your selection of plastic surgeon and choice of operation… Best wishes.

Lift or no lift

First off, crescent lifts are the most useless of lifts and succeed only in distorting your areola. It appears that you might benefit from a lift but you can opt to not have one and see if you like your breasts without the additional scarring. You can always get a lift secondarily. A third opinion by an experienced breast surgeon might be in order. Good luck!

Marcel Daniels, MD

11 reviews

Long Beach Plastic Surgeon

Hello

From your one picture it looks like you would get good results with just implants. Especially if you are happy with your shape as they are now. The best way to give you better advice is if you’re seen and examined.

Postpone the surgery!

It looks as if you need to have your areolas repostioned above your implants...its not a "real lift" but it has the effect of lifting your breasts while maintaining their original shape (only bigger) and leaves a nearly undetectable scar around the areola. If you do a straight forward augmentation you may be extremely disappointed. You should at least consult with a third plastic surgeon to break the tie!!!

Mplants with No Lift...?

Yes I agree with previous expert posters! You need a FULL LIFTING!! Is the surgeon you are using a boarded PS? Best to seek even more in person opinions.

Snoopy nose deformity after breast augmentation

From your photos, it looks like you are a set up for a Snoopy nose deformity if you don't have a lift, and more than just a crescent one too. Check out photos of this and see what you think, most patients are not happy with this look and want to be corrected. Nobody "wants" to need a lift, but everybody wants the best result and you really won't get one without both the implant and a lift.

Breast implants with or without lifts

I think that you are almost certainly going to want to have a breast lift for best results. By photo evaluation alone, I would say that your chances of needing a breast lift with your implants is extremely high. The two procedures can be, and often are best, completed in two stages. I would suggest having your breast implant surgery with the understanding that you will likely require the breast lift procedure about 3-6 months later. Every once in awhile, I am surprised that the breast lift... more

Ptotic or "droopy" breasts will still be droopy after an augmentation

From your pictures, I feel strongly that it is unlikely that you will be happy with your planned operation. You have too much ptosis and asymmetry to get a reasonable result with a subpectoral implant alone. I would take the time to consider this deeply now, especially looking at before and after pictures of women with similar breasts who have chosen to do the operation your surgeon is suggesting. Your surgeon should definitely have those, if not, this is another reason for... more