Breast Augmentation (no lift) for more upper pole fullness and projection - advice? (photos)

Hi, thank you for sharing your question. You will benefit from a lift during your breast augmentation procedure. If you avoid the lift, your nipples will be facing down after surgery.

It seems that implant surgery alone will not result in a good shape. In your case constriction and ptosis are more severe than in the cases of others attached, so peri-areolar mastopexy seems to be necessary. A silicone implant will be used, but the size can be predicted to some extent through examination, and since mastopexy is used together, it is desirable to make the final implant decision during surgery because the shape and size should be simulated by using a sizer, a temporary implant during surgery.

Unfortunately I agree... do a lift. In fact I would consider doing your case in two stages: stage 1 breast lift then stage 2 breast augmentation. I would separate the two stages by 3-6 months. Best Wishes!!

Thanks for your question! To get the best surgical outcome, I agree with doing a breast lift. If you just do an implant, your breasts will be larger but will still appear heavy and droopy. I might advise seeking a second opinion in person. Good luck!

If you are already a 36D/38C then implants will not solve your problem. Your breasts are too low on the chest wall and pointing down and out. The technique I recommend is a lift using 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear bevans0302,
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

Hi, it’s hard to tell from the photos only but it looks like a lift would help. Without a lift there is a risk that the breast augmentation surgery would leave a strange shape with your breasts sat off your chest and the nipple hanging too low on the breast.

I find it very interesting that a physician has already told you that you need a breast lift, yet you still ask that same question here. Yes, you need a lift. And you'll need an implant, as well as liposuction of the bra rolls, to even come close to your wish pics. The size and placement of the implants should be something you discuss during an in-person consultation with a board-certified plastic surgeon. Please note that your current breasts do not resemble the "before" images of your wish pics, so you cannot reasonably expect to look like those women do after surgery.

You need a lift. Your breasts are sagging. If you just add implant, you will still have sagging but larger breasts. Get the lift with implants placed behind the muscle for you best results. Liposuction of the axillary fat would also work well for you.

Although an in person examination is always best, from your photos it appears you would have the best results from a breast lift with implants. This would raise the position of the nipple as well as give you the volume increase you are wanting. If you create upper pole fullness with the nipple low you may end up with an overall shape that you won't like.