Will I get round/perky breast with implant only, no lift? (Photos)

Thank you for your question. Based on your photos and desired results, it looks like you would be best served with a combination of breast lift with augmentation. A breast lift reduces the skin envelope while reshaping the breast tissue into a more youthful and perky shape. Implants are added for more volume, The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Many techniques exist in breast surgery, and combined lifting with augmentation is especially tricky.  The key is working with an expert, board certified plastic surgeon to get the best plan for you.

Hello, breast implants will usually significantly improve upper breast fullness and improve the apparent nipple position on the breasts,  However, you PS is in the best position to discuss the result that would most likely be achieved.

Hello,The photos taken with your arms in the air, which pull your breasts upward, still indicate you have sufficient ptosis to warrant a breast lift and implant combination.  You are definitely not 'close to needing a lift', and implants would not be good for now.  Instead, you will be disappointed you with your droopy, unappealing result. If you want round, full breasts with optimal shape and nipple position, go visit a few ABPS certified/ASAPS member surgeons that are expert in all types of cosmetic breast surgery, not just implants. Best of luck!

Thank you very much for enquire.After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection, and 350-400ml will be excelent on you, to fill the breasts properly.Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".Respectfully,Dr. Emmanuel Mallol Cotes.-

While it's difficult to get an accurate assessment of the current sagginess of your breasts based on the less than ideal pics you have provided and only a physical examination can give us enough information to give you the right recommendation, it does appear that you have a moderate degree of breast ptosis and your breast foot print is sitting lower on your chest than ideal.  If your main goal is to achieve maximum perkiness, you would have to consider either a peri- areolar (doughnut) vs. a vertical (lollipop) scar mastopexy, along with implants.  The vertical scar mastopexy will give you the maximum perkiness while raising your inframammary fold at the same time, thereby raising the foot print of your entire breast.  If avoiding additional scars is more important to you than achieving maximum perkiness then I think implants alone may give you enough improvement to make you happy.  I just don't know enough about your goals and expectations to tell you which option to choose.  I do find it helpful for patients to show me pics of what shape and volume breasts they desire (in addition to implant sizing maneuvers).  If you are not sure yourself, then it's reasonable to just do the implants first to see if the perkiness adequate for you and then you can proceed with a lift in the future if you wish.  The other advantage of staging the implants and the lift procedure is the risk for capsular contracture and infection is a little less.  

Your case is a great example of the importance and challenge of matching a patient's expectations with the correct option (from a myriad of options- all of which have their advantages and disadvantages).  It can be really challenging trying to figure out each individual patient's ideal image of themselves.  I have to spend a lot of time getting to know my patient and discussing all the available options, advantages and disadvantages with them to make sure that we are on the same page with what we both expect to achieve.  I would recommend you see several board certified plastic surgeons who have a lot of experience in performing all the different types of lifts as well as implants before you make your decision as this is one of the more challenging combinations of procedures that we do. 

Best wishes.

Hi, Thank you for your question. Breast implants alone will not and cannot lift your breasts. You are correct to think that implants will only pull/push your breast tissue even lower than what they are now making your current problem worse and more difficult to correct. You need a breast lift. You have enough breast tissue - you don't need an implant. The Bellesoma breast lift method also known as the Ultimate Breast lift takes your own tissue to create upper pole fullness without needing a breast implant or a vertical scar. I've attached a short video of a woman who wanted a lift without an implant. You are welcome to visit my video gallery to view her before video to compare. Best wishes and kind regards,

your best chance of achieving you desired goal of upper pole fullness based on your photos is probably a breast augmentation with lift. The reason you are advised to undergo examination by a plastic surgeon experienced in breast work is that the surgeon will need to examine the skin laxity which you appear to have.

Depending on you skin laxity, under some circumstances you may only need an implant without a lift.

Hi there-I think it would be very difficult to answer your question without knowing more (including some things that could only be determined on examination, like the quality of your skin and your tissues), so please understand that for the best information your should visit an excellent surgeon with a lot of breast experience for a full consultation.Based on what you write and the photos you posted only, I would be very concerned that even if you were able to achieve your goal for appearance as a result of breast augmentation only, it would be a very short lived satisfaction indeed. Here's why- you say that your decline in breast volume and shape were the result of weight loss and aging... let's begin by understanding that the reason weight loss and aging cause these changes in most women is because of their effect on the elasticity of the tissues. As people gain weight, tissue elasticity is taxed and lost (how much is lost and how much weight gain is necessary for this to happen will depend on skin and tissue qualities of the individual, which are both inherited and lifestyle dependent) and while we are getting closer to being able to camouflage this, lost elasticity is generally lost forever. This means that trying to create the appearance of a firm, perky, youthful breast through augmentation alone is more than likely to actually cause you unhappiness once the lost tissue and skin elasticity, gravity, and the weight of the implant take effect on your appearance. I think the better question- the one you should be asking- is... "If I am going to need a mastopexy (breast lift) in order to achieve my goal, how can I maximize the chances of getting what I want and not regretting this course of action?"More than most other procedures, the outcome and your satisfaction with mastopexy will depend on who you choose to do it for you. Again, without seeing you in person I think it would be a bit irresponsible to try to be more definitive in my answer to your question, but my impression is that you will need a breast lift to achieve the outcome you describe. Accepting this now will help you avoid a second operation, additional anguish as you come to realize this after your first, and considerable added expense, but it makes it more important that you choose your surgeon carefully.

Hello and thank you for your question. In order to obtain the best shape possible, I would recommend a breast lift with an implant.  Without the lift, I fear you may still have some sagging.   The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality.  This decision should be based on a detailed discussion
with equal input from both you and your surgeon.    Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thanks for your picture and the photos. With the degree of skin laxity and your current volume I think you are likely to see more upper fullness of the breast with an implant, but still likely to see significant droop below the implant. It is ok to place the implants , allow them to drop and settle and then consider a lift, as long as you are prepared for this possibility.While combining a Lift and implant can be done, It is a more complex and variable surgery in the patient that already has a generous amount of natural breast tissue.Based on your photos I see a woman with more droop and more volume on one side. In a perfect situation you would have two Identical starting breasts and two Identical implants ( if you wanted more upper breast fullness).I would recommend Lift with reduction of the larger side.  With implants, possibly staged based on your examination.Be cautious, Many surgeons will recommend a large implant to try to avoid a lift, but there is a risk that you may be larger than you want and still require a lift. I always recommend choosing the implant size that fits your volume and goals and let a lift happen if needed.Hope this makes sense.