23 year-old seeking implants, do you think I need a breast lift as well? Please give alternate opinions! (photos)

Hi, thank you for sharing your question. You are a great candidate for a dual plane breast augmentation without the need for a lift. This procedure will give you the ideal look. I hope this helps.

You should be able to obtain a very good aesthetic outcome without a lift. Although a lift may place your nipple in a more ideal position, the degree of change is not enough to justify the added surgery, costs, scar, and risks.

Thank you for your question regarding whether you need a breast lift or not. In my opinion, you do not need a breast lift. You are young and the skin should have enough elastic strength to support an implant. Therefore, in my opinion, I do not think you need a lift. I hope this helps to answer your question about whether you need a breast lift with your breast augmentation. Thank you and good luck.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Dear @MsSurgerySeeker thank you for your question and showing your pictures. There are several factors to consider including patient's expectations in order to make an appropriate surgical plan. The current volume of the tissue and the symmetry of the nipples must also be taken into account. Some techniques can be considered if you do not want implants such as fat transfer to the breast of your own fat, breast augmentation with prostheses and make a little pexy or lift with the incision made only by the nipple without further scarring. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Your breasts are low on the chest wall. Adding implants will result in further descent. You will need a lift and the technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear MsSurgerySeeker,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I don think you need a lift.
An excellent option for you to consider is fat grafting and internal mesh support.

After body measurements a range of implant sizes, suitable for you, can be determined.You would need a breast lift only if you would choose a small implant size, which I do not recommend.If the size of the implant is sufficient, along with a high projection, you will not need a breast lift as well. You can have perfect natural result.I recommend anatomical implants, widening of your breast base and possibly transposition of your infra-mammary fold inferiorly.

To me, there's absolutely no basis to suggest that you need a lift with your breast augmentation. Be aware though, you do have some funky stuff going on with your chest wall in terms of skeletal asymmetry and the position your breasts are attached. You are going to need a fairly wide implant to get everything to sit best and mask that with your surgery.