Can I avoid a breast lift? (photos)

Question

Planning on getting implants SOON. I have mild/grade 1 Ptosis. Some doctors say that if I get bigger implants, I might avoid it. I am 38C and wanted about XL implants 800cc UHP Silicone. I have the skin for it. I do not mind my breast sitting lower as I am from cultural background where men and women prefer the aesthetic. I want them as round as possible. I love this look a lot I was told that if I wanted the lift after I could do so. Please help :( I just want the round fake look.

Alan Gonzalez, MD, FACS · Answer

Hello @Pioneering669179 thank you for your question and showing your pictures and goal look. With 21 years of experience in plastic surgery I suggest not so much volume. It's good that you like the fake look, however, think about the consequences of having such large implants. The discomfort of the weight, the back pain due to the weight of the breast, grooves in the shoulder area due to the bra and that this volume, whether you want it or not, will be affected by gravity, maybe not right away but some time later. Best wishes!

Leila Kasrai, MD, FRCSC · Answer

If you understand that your implants will sit a bit lower on your chest and their weight will accelerate the rate of sagging, then you may not need a lift. Please discuss your goals with your surgeon so that they understand what you’d like.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 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., US

Gary M. Horndeski, MD · Answer

Many women try to avoid breast lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donald R. Revis Jr, MD · Answer

Good afternoon,
I perform over 250 XL augmentations a year, more than any other surgeon in the U.S., and yes if you go 800cc or larger you can avoid a lift for now and perhaps not ever need or want one.

Ronald J. Edelson, MD · Answer

Personally I would not recommend you go that large. You will eventually get tired of the look and regret going that large. It died spiral you would benefit from a lollipop type lift but a smaller implant. Going with a huge implant is the way some surgeons get around having to do a lift, because lifts are tricky and it makes the surgeons job easier to avoid it. Not what I would do.

Daniel Barrett, MD · Answer

Dear Shaneys,
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

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Unfortunately based on the limited views supplied it is difficult to offer definite advice, but it appears that you would most benefit from implant placement and a lift. The implant will help add volume and shape, while the lift will remove excess skin and allow for resizing and repositioning of your nipple into a higher, more youthful, position. This would yield the best aesthetic result. Hope this helps

Camille Cash, MD · Answer

Considering your current photo and without seeing your goal pictures a lift would be indicated with your implants.  However the goal picture look can be achieved without a lift.  I encourage you to fully understand the risks and benefits of the look you are wanting.  The implants are heavy and eventually will further stretch the skin.

Connie Hiers, MD, FACS · Answer

Please do not go for such large and heavy implants. They will stretch and thin your own tissue and you will sag. Big breasts sitting on your lap are not pretty!  None in the photos you shared look good and all sag.

Can I avoid a breast lift? (photos)

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