Pseudoptosis? Lift or just augmentation? (Photo)

I believe that you could get a good
result with an implant alone. Oftentimes, an augmentation can give the illusion
of a lift. As the implant fills out the upper portion of the breast, it
also fills out the lower portion, which makes it appear as if the nipple
is located higher on the breast. After a minimum of 9 months, when the
implant has settled, you'll have a better idea whether or not you think they are
perky enough. You can always get a lift later if needed. For more information on this and
similar topics, I recommend a plastic surgery Q&A book like "The Scoop
On Breasts: A Plastic Surgeon Busts the Myths."

It appears that you have a degree of pseudoptosis and breast implants or autologous fat grafting are possibilities. Please consult with a board certified plastic surgeon that can give you all of your options.Good luck.

Hello,Your breasts do demonstrate at least pseudoptosis, and perhaps more; only physical examination will be able to determine that. In my hands, I prefer to lift the breasts in these borderline situations, as I know that it won't be long that the implants just settle into the soft tissue envelope making for increased pseudoptosis with little upper pole fullness.  Unfortunately, so often we focus on a photograph of a patient and her results, and we don't realize that this is literally a snapshot in time.  What we don't realize is that result is always in evolution; what looked good then doesn't look so good in a few months or years. I urge my patients to look towards the future too, to eliminate the need for repetitive reoperations and complications. In this vain, I encourage lifts when necessary, the use of inframammary incisions for implant insertion, proper implant sizing based on anatomic measurements, and the use of textured, anatomically shaped, highly cohesive, form stable silicone gel implants. Best of luck!

It appears that your nipples are above the level the crease below your breasts. I'm not sure that you would benefit from a lift. Of course an in person examination is required for definitive recommendations.If you're unsure about having a lift, it's important to understand it can always be done during a second procedure. There may be some additional cost if you have a second procedure, but separating the procedures gives you the opportunity to see how you look after just an augmentation. Many patients will be happy with just an augmentation alone, and they won't have the extra scars from the breast lift.

In my opinion- the best result in your case will be achieved with a mastopexy ( breast lift) and implants placed sub-muscular.