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Will I be happy with a breast lift alone and no implant?

 I am a 36 yr old mom of 2, currently a D cup and happy with my size. My beasts are saggy and have lost all upper volume. My nipples don't point down, but they are low and definitely need to be moved up. The doctor I visited said I only need a lift, but I can't help but wonder if I will be happy with out a small implant. I would have an anchor scar and he said something about an "internal bra" so that they would be "perkier" and that is why I wouldn't need an implant.

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12 answers to “Will I be happy with a breast lift...”

A: Breast appearance... a plea for the natural

Brent Moelleken, MD

If patients are fortunate enough to have enough volume, but have droopy breasts, I encourage them to have a breast lift and not to have an implant. Breast implants can cause a lifetime of repeat surgeries... why subject yourself to that if you have enough breast volume?  If the nipples are at the... more

A: Is an implant necessary for a breast lift?

Otto Joseph Placik, MD

Breast lifts without implants are more commonly performed in Europe when compared to the US. Perhaps this is because they are familar with the appearance of a natural breast due to their topless beaches. In the USA, most patients expect upper breast fullness, similar to the way you appear in a bathing suit.... more

A: It's HOW the breast lift is done that determines the result.

George J. Beraka, MD

Hi!   This is a very important, frequently asked question. 1)  Many surgeons do a lift just by tightening the skin envelope of the breasts.  But skin stretches, and this approach will definitely not give you the upper fullness that  you (and every other woman) want. 2)  You can... more

A: If you have enough volume, you may be able to avoid an implant

Shahram Salemy, MD

It all depends on your anatomy and you goals, but if you have enough breast tissue to work with, you can usually achieve a very natural result with god shape to the breast without using an implant. An implant will certainly add more upper pole fullness, but there is a cost associated with this, including the... more

A: Aesthetic expectations

Andrew J.L. Gear, MD

It depends on what you expect aesthetically. You have the volume of breast tissue necessary fabricate a nice result, but it is difficult to create upper pole fullness that many women want or think they want. Dr. Placik makes an excellent point about cultural influences on breast aesthetics.  Women in the... more

A: You have enough volume but it depends on the upper pole look you want

Richard P. Rand, MD

At a D cup, you have enough breast volume to work with and create a nice result with a full lift.  The only place you might be lacking is in the upper pole and if you want good fullenss there, you might need an implant.  You can always see what you get without an implant and put one in later if you... more

A: Would you be comfortable being larger than a D cup

Francisco Canales, MD

Hello I agree with your doctor' s assessment that a lift should suffice. To get upper fullness with an implant, the upper part of the implant has to show in the upper pole of your breast. Small implants have a narrow diameter so they won't add to upper fullness.  You would just get added volume without... more

A: It all depends what you are looking for

David Shafer, MD

The choice of an implant or not is really dependent on what you are looking for. If you want considerable upper pole fullness then you many need an implant. However, if you just want the nipple elevated, then you do not need an implant. In most cases, it is possible to do an internal auto-augmentation with... more

A: Decision should be based on your desired breast shape....

Armando Soto, MD

Hi there-- With an implant, the upper area of the breast will be full and variably round. Without an implant, and even with a very well done breast lift, the upper pole will be a bit more sloping (as a natural breast is). I agree with my colleague below that if you think you would be happy without an implant,... more

A: Correct solution

Bahram Ghaderi, MD

Being a larger cup size allows you to avoid having a breast implant. Your own tissue can be used to give you the fullness you desire. Also the anchor type scar will give you the most powerful and long lasting lift. Adding an implant to an already larger breast size will only add to the weight of your breast... more

More answers to Will I be happy with a breast lift alone and no implant?
Chicago - Breast implants often benefit lift results
Fairfax - Do you want a "home run?"

Comments

momof2lilon
8 posts
22 Mar 2009

Also, if this matters, my nipple falls just below the inframammary fold, but the top of the areola is still above it. (the size of the areola is pretty big and will be reduced.)

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