Will I be able to achieve my desired look without a breast lift? Interested in silicone implant, under muscle. (photos)

Hello thank you for your question. It is a difficult one to answer based on photos alone. Set up an appointment with your plastic surgeon to go over everything in detail. It really just depends on your expectations and measurements. I would consult your plastic surgeon. Feel free to check out our before and afters.

Hi, thank you for sharing your question. You are a good candidate for breast augmentation without the need for a lift. An in person evaluation with a plastic surgeon will confirm this. The ideal size and specifics are determined together with your surgeon.

You will likely not achieve your wish pic look without a lift, especially on the one side.

However, you are borderline and if youre ok with a more natural look, you might avoid a lift with implants partially under (dual plane) or fully over the muscle.

This will improve upper fullness and alleviate some of the sag without lift scars.

If you really want the high, perky look then implants with a lift would be best option. That would also allow for more size symmetry.

An exam and consultation with a plastic surgeon is recommended to further discuss your best options and expectations.

Hello!!!Thank you very much for your question!I think that you will not achieve a good result without a lift (Mastopexy) with implants.Breast Augmentation all be does not lift the breast.Also I recommend the implants over the muscle.Otherwise the implant stay too high I relation to the breasts.
Best Regards!Dr Alejandro Lev

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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. They then get to choose what looks right for them. 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

Thank-you for your query. You can have a breast augmentation without a breast lift, based on the pictures, you have posted, but a sub muscular augmentation may not be the best option. I usually do a sub-fascial (or sub-glandular) breast augmentation in this situation , which will give you some lift besides augmenting your breasts, without giving rise to a “double bubble” look. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

You seem to have some asymmetry, in particular position of areola/nipple; one side is 1.5-2 cm lower. That is not going to be corrected with augmentation only. If you are OK with that asymmetry and want to avoid scars of breast lift, you should try augmentation with implants only; if you do not like the result after 6-12 months you can have a lift as a separate procedure. Hope this helps. Good luck.

Hello and thank you for posting. Yes you can! Breast augmentation alone will give you very good results and if you are ok with some asymmetries then there is no need for a lift. But, your wish pics are very symmetrical. I say this because we can fill out the saggyness with the correct size implants, but in order to achieve your wish pics expectations, your surgeons needs to address these asymmetries.

A. Left breast is larger and sits lower. B. Left breast has a higher infra-mammary fold and a lower areola/nipple position. C. Left breast is also wider and falls laterally more then the right breast.

If you wish to correct these asymmetries here are 3 ways I recommend how.
1. One is to use different size implants. This will help, and will avoid breast lift scars, but it might not it be enough because you would always have more skin on one breast then the other.
2. Another is with a small lift …. a Peri-Areola or Circumferential Lift. Also known as a Benelli Lift.
I understand that you do not want breast lift scars but this would only be around the areola and it would really help as far as having both your nipples positioned in the same level.
3. A combination of different size implants plus the Benelli Lift can also be combined for the most symmetrical results possible. The Benelli Lift can be performed on one or even both sides. When doing both breasts, the breast with better nipple position is mostly done to make sure both nipples are the same size and shape, giving patients even more symmetry.

Conclusion, Good results without a lift…. Better results with a small lift.

Hope this helps,
Dr. Miguel Mota

You can have breast augmentation without the lift, but this won't make the Left side equal to the right. Your right breast doesn't sag too much and so would look great with augmentation, but your left would have some sagging this way. If you don't want the added scars of a breast lift, then just having augmentation would give nice outcome. Adding the lift adds more scars, as you know, but would improve the symmetry. I would suggest avoiding the lift for now. I think you will have a very nice outcome without it.

Your goal photos show symmetrical, non-ptotic (not saggy) breasts. You have breast ptosis that is significantly asymmetric with very different nipple positions. You will need a breast lift with implants to achieve your goals.