Should I consider a lift in addition to round implants?

Dear Exciting75650,
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

Thank you for submitting your question and photos. It appears you have grade 2 ptosis (breast sag) secondary to your pregnancies, breastfeeding, and recent weight loss. Normally when breasts have fallen to grade 2, a lift is needed to reposition the nipple areola complex in a more central position on the breast mound to achieve a youthful look. Implants alone will not be enough to reposition the nipple in a higher position. Be sure to consult with a board-certified plastic surgeon.