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I Want a Breast Augmentation. Will I Need a Breast Lift Also Since my Breast Are Saggy?

I've had 2 kids and my breast aren't what they used to be. I'm getting a breast augmentation as soon as I get the money saved. I just need to know if I have to have a breast lift also. I want them to have a little sag to them, to look a little natural. Right now, they are just a lot of skin though. What needs to be done?

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15 Doctor Answers | Asked by Becca Rose in Jacksonville, Florida

Doctor Answers (15)
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Is a lift necessary?

The best way to get an appropriate answer to your question is to visit a Board Certified plastic surgeon who can examine your breasts and offer an experienced opinion. Whether or not a lift is needed is determined by the position of the nipple in relation to the breast fold. Depending on the degree of the "droop" of the breasts as well as the size of the implant selected, sometimes an implant alone will provide enough "lift" so that a surgical lift is not needed. After an... more

Mennen T. Gallas, MD

8 reviews

Houston Plastic Surgeon

Sagging breast and breast augmentation

Nipple position in relation to the fold under your breast is the key to treating the breast for aging and drooping. Frequently the drooping can be treated with an implant of the proper diameter alone. Various nipple lift procedures may be used such as crescent masopexy, donut mastopexy, vertical mastopexy, etc. Consult a surgeon certified by the American Board of Plastic Surgery. Talmage Raine MD FACS dr@drraine.com

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Hello

Without pictures we cannot give accurate advice. Usually if you have had kids and you can see obvious sag a lift would be needed to give you good results. There are few options for you depending on what you’re looking for. You should go in for a consultation with a PS when you get closer to the time you’re looking to have surgery so you can get your options.

To be able to have any reasonable idea if you need a lift with your breast implants, you will have to provide photographs.

Thank you for your question. To be able to have any reasonable chance of answering your question, you will have to provide photographs. To have the best idea of your options, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Lift with Aug?

Nobody on this forum can really tell you the answer to that question without seeing pictures at minimum. You should seek a board certified plastic surgeon to discuss what your needs will be. Every patient is so very different and from what you describe it is impossible to say if an implant alone will do the trick or if a lift will be needed as well. The position of the nipple/areola complex on the breast mound with its' relation to the lower breast crease determines greatly if a lift is... more

I Want a Breast Augmentation. Will I Need a Breast Lift Also Since my Breast Are Saggy?

Without photos, it is impossible to tell. It all depends on where your nipple sits, what size implants you will be having, and what result you are expecting. Best to see a Plastic Surgeon in person to be evaluated.

Do I need a lift with my augmentation??

Determining whether a lift is necessary will be based on the position of your nipples and existing breast tissue in relation to your chest wall and inframammary fold. An in office exam will be most useful to determine this. It is possible that a portion or all of the loose skin can be filled out by an implant alone. I recommend that you visit with 3 board certified plastic surgeons to undergo an in office evaluation and to hear their recommendations... more

Breast Lift Needed?

Thank you for the question. Direct examination and/or viewing pictures would be necessary to give you advice regarding the necessity for breast lifting. This determination is best made during consultation with well experienced board-certified plastic surgeons. The position of your breasts as well as that of the nipple/areola complexes on the chest wall will play a major role in this decision-making process. When the time is right,I would suggest starting with the American... more

Lift or augment

Photos would be helpful. Some patients need the lift and others can have augment alone. Being willing to accept some sagging, unfortunately, is not a recipe for a satisfactory, natural outcome so you would really need to see a board certified plastic surgeon in consultation to explore options.

Breast implants +/- lift

Without an exam it is difficult to say whether or not you would need a lift with implants. I will say that an implant will not lift your breasts.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

How much sag is sag?

Needing a lift or not depends on exactly how saggy the breast is. I get so many ladies coming in to see me who need lifts but do not think they do and others who believe they will need a lift even though they do not need one. Sometimes they call their breasts saggy when in fact they have just deflated and lost the upper pole. Sometimes they say they sag a little bit and they are half way down to their belly button. The old fashioned pencil test often is a good... more

I Want a Breast Augmentation. Will I Need a Breast Lift Also Since my Breast Are Saggy?

It is difficult to tell without examining you or seeing photos. If by saggy you mean deflated but not significantly overhanging, then you may only need implants to fill out the loose skin and breast tissue. If by saggy you mean that the breast is too far overhanging, then the loose skin will hang off of the breast implant and the result will be poor. Since the bottom of the implant is at the level of the inframammary crease under the breast, and the implant will not fill... more

How to decide if you need a lift with an augmentation.

There are two issues that you need to assess to decide if you need a lift with your augmentation: The first is how low are your breasts, and the second is what are your expectations in terms of the appearance of your breasts after the procedure. In general, if the nipples are above the fold of the breast, a mastopexy (lift) is not required, and if the nipples are below the fold a lift is usually required. If the nipples are more or less at the fold, then usually one can perform a dual... more

Is a lift needed with your augmentation?

Thank you for your questions. Unfortunately, without photos and a formal physical examination, it is impossible to give you any recommendations. Your plastic surgeon will assess your breast anatomy, your nipple position, your degree of sagging, and the quality and amount of any excess skin. Please see a board certified PS to learn more about your options. Best of luck. Dr. Basu Houston, TX

I Want a Breast Augmentation. Will I Need a Breast Lift Also

Becca- This is a common question, best answered during a consultation with a plastic surgeon. Those of us who answer RealSelf questions could help some if you could post some photos, but otherwise the responses will not likely be very useful. As a general rule a lift is done for one of these reasons: to raise nipples and areolae that are too low to make uneven nipples and areolae more symmetric to remove excess skin, often from pregnancy/nursing or weight... more