Do I need a lift? (Photo)

I would recommend seeing a surgeon with 3D preoperative imaging capability. In addition, I also recommend one who will use the correct size implant and perform a full evaluation. Your right breast is significantly different than the left breast. I would recommend performing an augmentation with a lift in order to obtain the best symmetry possible. You need to find a plastic surgeon who completed 6 years of plastic surgery training, ideally followed by an aesthetic fellowship accredited by The Aesthetic Society.

Dear Cool543408,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You of course have some baseline asymmetries in your breasts, but I do think you could achieve your goals without a lift. My recommended course of action would be to perform a breast augmentation with either dual plane or subfascial implants, slightly larger on the left than the right, and some fat grafting to the medial breasts. The larger implant on the left should help your nipples/areolae to level out relative to each other. After that heals, if there is still asymmetry in the level of your nipples and/or size of your areolae that bothers you, then potentially a lift could be done, but I don't think that would be likely.

Your breasts are asymmetrical in volume, shape, position, widely separated and have poor cleavage. Breast augmentation alone will not solve your problem. The technique I recommend is a mini lift. Using a circumareola incision, you 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 if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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., USA

The best procedure for you not only depends on your presentation (shown) but also the result you are hoping for (not known). Your widely separated breasts, asymmetry between right and left sides in volume, skin surface, nipple position, and the centralized distribution of your mammary parenchyma (glandular tissue) all suggest that yours is not simply an augmentation procedure but a more complex breast re-shaping, re-positioning, and symmetrizing procedure. If your goal is augmentation alone, then breast implants alone will do. If you want more beautiful breasts by generally accepted standards, then a more comprehensive approach is indicated.

Hello, thank you for your question. Based on the photo, I would likely recommend a lift. A lollipop or vertical lift will allow the surgeon to make the areolas a similar size and to set the nipples in a more similar position and the remove some of the extra skin for the larger right breast. There will always be some degree of asymmetry which is natural and normal, but a lift is the only way to try to improve the symmetry of the things mentioned above. I would use a soft implant under the muscle to give you a more teardrop and natural shape. I think you could get a really good result. Hope that helps.

Hi, thanks for your question and photos. You can have excellent results with Mastopexy or Breast lift. Besides, you can choose breast implants depending on your goals. With breast implants, it's possible to shape the breast better. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

You can avoid a lift, but to be even, a lift will be needed on the lower breasts. I would suggest smooth round implants placed behind the muscle for better upper breast fullness.

Your breasts are different shapes, this is very normal and common. The right breast will tend to sag more than the left. A lift on the right may reduce the difference in the breasts. You need to find a Plastic Surgeon with years of experience to assist you on you journey. After an examination they can determined if the left side needs a lift as well. Good luck