Am I a candidate for implants (150-175cc) only or do I need a lift? Want natural look and no lollipop scars. (phoots)

Judging by the photos, you would be a candidate for breast implants AND mastopexy. No one wants the extra incisions and scars but unfortunately that is the best option for your to achieve an nice aesthetic outcome. Without a mastopexy you would have the same shape of your breast but slightly larger. I also do not recommend placing implant in front of the muscle as the rates of capsular contracture is higher. Also over time the rippling and implant palpability becomes more prominent.

Hope that helps.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. You may have a small amount of glandular ptosis which can likely be correct with a dual plane approach. The proper selection of implants is best done in person after an evaluation by a board certified plastic surgeon because a number of measurements are required. You will be able to achieve your goals, likely without the need for a lift, but keep in mind an in-person exam is always better to make that assessment. I hope this helps.

It’s difficult to say without a side view photo however it does look like your nipples may be located below your breast fold. For this reason, a lift would be recommended. Without a lift, your implants would sit rather low on your chest.

A donut lift will likely not turn out well with asymmetric and thickened periareolar scars, asymmetric nipple-areolar complex position, elongation or expansion of the areolas, pleating, and residual glandular sagging. This is what you but when you refuse a vertical scar that is the MOST likely scar to become virtually invisible, AND give you the breast shape you will love. What you think you want is not really what you want.

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. I have been in practice 27 years. No one wants a lift if they can get by without one. In your case, there is absolutely no way to improve the appearance of her breasts without a breast lift. The key is to find a surgeon who does artful mastopexy's-lifts so the scar is minimized. Spend some time and critically evaluate your potential surgeons mastopexy galleries. Best wishes to you.

Your breasts are too low on the chest wall for augmentation alone. You will need a lift and I recommend 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.

Dear tel123,
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 think you definitely need a lift and the lollipop lift is the correct way to go. You can just get the implants first and the lift later. If you just get implants with no lift you will get a poor result.

From your photos you will have the best results from an augmentation with a lift. I would recommend placing the implants beneath the muscle. The benefits to this are that the muscle will help disguise the upper portion of the implant, the muscle will help to support the implant, and there is a lower risk of capsular contracture with this approach. These procedures will give you the fullness you want with a natural look. I've included a video that I hope you find helpful.

Have a nice day! Here’s Dr. Jose Suarez hoping to answer all your doubts. The only way to find out is through an an appointment appraisal.