5'5", 135lb. Can I get an implant or just a lift? (photos)

The technique I recommend is 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello! In your case we recommend a breast lift without implants if you want to maintain a small volume, in case you want projection and larger breasts, we recommend placing implants, always taking into account the dimensions of your body. Thank you for contacting us!

You have good volume according to your body proportions; even when with the lift the Breast Cup reduces, this volume will still match your body type. In your body type the most important is the lift other than giving more volume that longer time can add heaviness to your skin. Hope this help!

You are a good candidate fir a lift. Although an implant is not necessary it would be the best way to create upper pole fullness

Dear jessuser,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Very likely, augmentation with implant should be necessary to provide long lasting fulness in the upper pole. Your breasts are relatively large, so with implant around 300 ml or more, you can expect to be 1.5-2 cup sizes up after lift. To avoid sagginess of heavy breast tissue (bottoming out) in the future, you may consider having some breast tissue reduction and use a larger implants to compensate for that tissue loss. That will provide longer lasting result. In person consultation with a board certified plastic surgeon, expert in breast surgery, is recommended. Good luck.

Thanks for the well posted photos. I am trying to understand? You do not wish a lift? correct? Even though you are a 4th degree ptosis of breasts doing a small implant is not going to fill upper poles. Better to try fat grafting to upper poles. But you still will be very saggy... Best to virtual consult with...

You actually have a fair amount of breast tissue and would do well with just a lift. If you want to be fuller, than add a small implant. If you go too large and heavy, you will sag again.