It all depends what you are looking for

12 months ago

By David Shafer, MD - Manhattan Plastic Surgeon

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 the tissue that is usually resected during the lift. This can help augment the upper pole deficiency. Good luck with your surgery.

Web reference: http://www.RealPlasticSurgery.com

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More answers to “Will I be happy with a breast lift alone and no implant?”

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

12 months ago

By George J. Beraka, MD - Manhattan Plastic Surgeon

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 "rescue" a skin lift by doing a "plus/minus" operation, where you remove lower breast tissue and add an implant, so the total size of the breast does not change. This is not a bad option, but not what I recommend.

3) There is a lift that will give you long term upper fullness without implants. The breast tissue itself is moved up on the chest and the breast is sculptured with inner stitches. The skin plays no role in this lift. Variations of this kind of lift have been described by Dr. Lejour from Belgium and by Dr. Hall-Findlay from Canada.

4) You do not need an anchor scar for a breast lift. I use an anchor scar only for very big breast reductions. For a good major lift, you need a "lollypop" scar, which is more acceptable.

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