Could I address volume loss with a breast augmentation alone or will I need a lift as well? (photos)

Dear georgiabuc,
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

Thanks for the question.
You should have a nice result with implants. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

This is a great question that many patients struggle with. Making a decision to do a lift is a difficult one as you are accepting more scars. The answer depends on many variables. Based on your photos, you could avoid a lift with larger implants. With smaller implants a periareolar mastopexy would be a good option.