Breast Augmentation Without a Lift in Naturally Large Breasts? (photo)

I'm looking to maintain a natural hang, while adding fullness to the upper portion of my breasts. I'm currently a large C, would like to increase to a DD. I am not okay with the vertical scar that a lift leaves, therefore I would like to get implants while keeping my natural hang. Is this possible without getting the "snoopy" effect of the implant not "matching" the real breast? Should they be placed submuscular? I'm comfortable with my mismatched areola, no desire to change them :-) Thanks!

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C to DD cup fullness natural looking without lift

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21 Doctor Answers | Asked by SeriousResearch in Seattle, WA

Doctor Answers (21)
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Breast Augmentation Without a Lift in Naturally Large Breasts?

Placing implants without a lift in a breast that needs a lift is highly likely to result in an unsatisfying outcome--with the natural breast tissue draping off the implant. If you really won't consider a lift, I would think about not having implants. It may be possible to get volume increase with fat grafting. Although a two cup size increase may not be achievable, there is more flexibility in placement of the fat than there is for implants. When you are... more

Augmenting naturally large breasts without a lift

Thank you for the pictures and question. To go up 2 cup sizes with implants (400-450cc) will give you even more hanging breasts. Right now you have a grade 2 ptosis or sag on the right and a grade 3 on the left. If you have the implants placed submuscularly, you will have the snoopy deformity. The larger the implants, the heavier they are and create further sagging with the breasts heading towards your belly button. Since you have an aversion to scars, I agree with one of the... more

Is a lift needed?

Hi Serious R., You need a breast lift because your nipples are low relative to your breast and will just get lower in time. If you don't do a lift you will get a double bubble with implants. Your breasts have good shape which indicates to me that the breast tissue is firm. I think that a circum-areolar lift and implant is not ideal as it will still leave your nipples too low. There is a procedure designed to lift the breast using internal sutures suspended down from above the breast; this is... more

Breast Augmentation Without a Lift

Thanks for posting the question. Your situation is, in fact, a quite common one, and I will take a differing stance than some of the other posting physicians. If you can locate a surgeon well adept with a periareolar approach in your breast shape, you can get a very good result with implants alone and not get a snoopy deformity. While this is not possible in all cases, based on your pictures I think this would be a fine option for you. Best wishes! more

Breast Implants and No Lift for Grade II Ptosis

No one wants additional scars for to achieve a result. However, you should think of the result with only implants as producing the snoopy effect to which you allude. Kenneth Hughes, MD

Snoopy deformity in the making

Unfortunately, you are a perfect set up for a Snoopy nose deformity with big implants and no lift. You should really rethink all these issues and maybe conclude that the best plan is to not do the surgery. Pateints who need full lifts can't bypass that and cheat mother nature and get a great result. That "natural hang" will not be there, it will look very unnatural and distorted. Thanks for the photos.

Surgery

You will benefit from enlargement an a peri areolar lift. Your ptosis is not severe and you should expect a small amount of lifting with this procedure

Mastopexy

Hello. Judging by your pictures it looks like your nipples may be lower than you’re your inframammary fold. If this is the case I would definitely recommend a lift along with your implants. A consultation would definitely be helpful in determining your best option as it is hard to determine based on pictures alone. Jaime Perez, MD Breast Augmentation Specialist Plastic Surgery Center of Tampa

Augment without a lift

From what you say about wanting to maintain the natural hang of your breasts, I do not feel that you need a lift. An implant alone can provide the fullness you want in the upper part of your breast. However, in my experience, the implant needs to be placed on top of the muscle to achieve this. If it is placed under the muscle or fascia, the implant tends to ride higher which accentuates the lower position of the nipple giving the snoopy appearance. If placed above the muscle, the implant... more

Implants do not tend to take up the slack - might reconsider a vertical lift.

Even a DD will not be enough to correct your sagging. After a breast augmentation alone your nipple will still be low. Not sure if you would have a "snoopy" effect. Probably not. Incidentally, there is no evidence that implant placement above or below the muscle makes a difference with regard to the snoopy effect, which results from untreated breast sagging at the time of a breast augmentation. You are a good candidate for a vertical augmentation/mastopexy... more