Can I get a breast augmentation 650-800ccs without a lift? (Photo)

Question

5'4, 210 lbs, not wanting a lift, only an implant. Is there any doctors in ATL or surrounding areas that would do this?

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Yes you can do that however given your breast anatomy you may not get the results that you want in your wish pic. I would suggest speaking to your plastic surgeon about your questions and what the pros and cons are for each. Fore more information feel free to check out our website.

Semih Yildiz, MD, FEBOPRAS · Answer

The photos show breast ptosis with the nipple/areola sitting low on the breast mound, so an implant alone may not give the lifted shape you are hoping for. A 650-800 cc implant is very large for many patients and can add weight, stretch the lower breast, increase bottoming-out risk, and make existing sagging more noticeable rather than correcting it.

Whether you can avoid a lift depends on your nipple position, breast base width, skin quality, and the look you would accept. Some patients choose an implant-only approach understanding the tradeoff, but if the goal is higher, rounder breasts, a lift with or without implants is often the more predictable plan. I cannot recommend a specific doctor here, but look for a board-certified plastic surgeon who performs both breast lifts and augmentations so the recommendation is not limited to one option.

Brian K. Reedy, MD · Answer

Thanks for sharing! Ultimately, I think you would be happier with a lift. Please be sure to seek consultations with board-certified plastic surgeons who specialize in breast surgery. Good luck!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding having a breast augmentation without a lift and for including photos.

Ultimately, this should be your decision to make as long as your surgeon is very clear on realistic expectations.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

Johanna D'Agostino, MD · Answer

Hi and thanks for sharing!Is there a specific reason why you do not want a lift?? are you concerned about the scars? pain?? consulting with a board certified surgeon, may help clarify some of these concerns. Based on your pictures, I believe that you would benefit from both the augmentation and the lift. Another thing to consider, is the volume that you have selected. Large implants will be heavy and overtime worsen droopiness of the breasts. During a consultation, your surgeon could also help you try different sizers to determine what would be best for you based on your exam and goals.

Jose A. Munoz, MD · Answer

Hi and welcome to our forum!From your photos, I note relatively symmetric breasts. The distance from the top of the breast bone to the nipples is increased. The areolae are enlarged. You have lost superior pole breast volume. The nipples reside at the level of the fold beneath the breasts, there are significant stretch marks, and there is moderate-significant sag.Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or overweight, the skin's dermal elastic fibers stretch and eventually rupture, resulting in the loss of elasticity (like an old rubber band) and the development of streaks on the skin surface. The skin will stretch over a greater surface area and will predispose to further sagging. The added weight of breast implants may stretch the skin further, especially as you desire 650-800cc implants.Augmentation alone will create larger breasts of the same shape. In my personal opinion, a lift with a smaller implant is indicated. Many large breasted individuals will experience back pain, shoulder pain, and bra strap grooving.Best wishes...

Ronald J. Edelson, MD · Answer

That would not be my recommendation but you will have no problem finding a surgeon to do what you describe. I think it’s a mistake

Daniel Barrett, MD · Answer

Dear Pepsilover27,
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

Karl William Schwarz, MD · Answer

You would only be a candidate to get an implant along with a lift. You have to remember that implants do NOT lift the breast so in your case if you just got an implant without a lift you would not look good as your breasts would be falling off of your implant giving a very bizarre look especially since you are electing a very, very, very large implant.

Camille Cash, MD · Answer

From your photos you will have the best outcome from a breast augmentation with a lift.  Implants alone will add volume, but it may be a result that you are not happy with.  I encourage you to go on a few consultations with board certified plastic surgeons near you and listen to varying professional opinions.

Can I get a breast augmentation 650-800ccs without a lift? (Photo)

Answers (12)

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