Do I need a Breast Lift? If so, what incision? (photos)

This is always difficult to answer without an in person exam to perform measurements and determine skin quality. I really do not prefer to do a lift on patients in your age range for multiple reasons. I will say a downward facing nipple is not corrected by an implant alone.

Your nipples are located below your breast fold and are pointing downward, therefore a lift is probably the most suitable option for you. This would raise your nipples as well as make them project more forward, rather than downward. If you were to only get breast augmentation, the implants would sit rather low on your chest as they would need to be centred behind your nipples. You would probably need an anchor incision, although that could be further discussed with your surgeon.

Thanks for your inquiry and excellent pictures. I believe at the minimum you would need a peri-areolar lift, best to get an in person evaluation to discuss your options and best of luck.

Dear Friendly987678, in order to achieve your desired goal you would need breast augmentation with dual implants, this would give you an amazing result, about the scarring we can take preventives measurements also manage the asymmetry. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks! Dr. Luis Mejia.

I recommend an in person evaluation with a plastic surgeon to be measured and discuss your goals. 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, if desired. 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