Breast Augmentation Vs. Breast Lift, Which Would be Best for me? (photo)

I am a 51 year old mother of one, looking to do a breast augmentation or a breast lift. I go back and forth on which one to do and what will give me the best results. I am hoping that one of the doctors on here can look at my attached pictures and let me know what they think is best for me. I haven't seen a surgeon yet and would like to have more info on the benefits of each before I do. I'm not looking for a bigger bust per se, just better looking breasts.

Doctor Answers 12

Breast augmentation vs. breast lift - which is better for me?

Thank you for your question! Your photos unfortunately do not appear on my screen.  It is normal for the breast to lose its firmness and perkiness over time, which is accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity. This ultimately results in ptosis, or sagging, of the breast with a “deflated” appearance. Women often seek the mastopexy, or breast lift, procedure to regain the previous youthful appearance of her breasts and desire that uplifted and perky appearance of her breasts. Women report increased confidence, self-esteem, and femininity once she achieves this desired shape and fullness. Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage. The implant itself will add these things - given your desires and happiness with your breast size, a breast lift alone is a reasonable decision.

The decision for a breast lift will be up to you...depending on how much you are bothered about the shape as well as your concerns. If you are content with your size, a breast lift will usually suffice.  But, if you would like increased size and fullness, consideration also for an implant is reasonable.  Consult with a board certified plastic surgeon well-versed in breast surgery and s/he will assist you in deciding if a mastopexy will be the right decision for you. Thank you for your question! Hope that this helps. Best wishes for a wonderful result!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast Augmentation vs Breast Lift of Both

If you have mild sagging and want a small lift effect and have a moderate amount of breast tissue then I would recommend a subglandular placement (above the muscle). That way your breast tissue will be supported and lifted to a limited amount. Other techniques some surgeons use is to slightly lower your crease which gives the illusion that your nipple is in a higher position. See below links for more infomation.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Breast Augmentation or Breast Lift

Thank you for your question. You have to decide what you would like.  A lift alone is only going to move the nipple areolar positon higher and do little to add volume and shape to the upper pole of your breast (upper half of your breast). 

A small implant and periareolar lift would give you better shape and lift the NAC to the appropriate position. 

A physical exam and consult with a board certified plastic surgeon will help guide you to what ultimately is the best choice for you. 

Best wishes,

Dr. Brian Joseph

Brian Joseph, MD
Orlando Plastic Surgeon
4.8 out of 5 stars 52 reviews

Breast Augmentation vs. Breast Lift-Breast Augmentation will Imrove Your Breasts with Less Scarring

Thank you for your question. Opinions will vary greatly among Plastic Surgeons on Breast Lift vs. Breast Augmentation.

You do not have severe Ptosis or Breast Sag and Breast Augmentation or Implant will fill your breast and improve the shape and the scar can be hidden beneath the Breast.

A Breast Lift will raise your nipple position but the breast will still not be firm and most patients with your Breast shape who have a lift also want a small implant.

The Breast Lift will cause scarring around the Areola and is a more complex procedure. I would suggest a Breast Augmentation using the Dual Plane Method to encourage a slight lifting action. If you decide later you want a higher Nipple position a lift can always be done.

Breast Lift vs. Breast Augmentation and Lift

Ultimately this is your decision. You have to decide if you are happy with your breast size or want larger breasts. If you are happy with your breast size, then a breast lift will offer you an improved breast shape. If you desire larger breasts, or more volume in the upper pole, then a breast augmentation and breast lift will be necessary.

A breast lift will provide more central positioning of the nipple-areolar complex (NAC) and improve breast shape and forward projection by tightening the inferior pole; the mild asymmetry of the NAC position can be corrected as well.

A breast augmentation will increase your breast size, improve upper pole fullness, and could be used to balance breast volume. It is important to understand that an augmentation alone will not improve the position of the NAC or provide any positive shape changes other than increased breast volume. Surgeons may have different preferences/reasons for a subglandular or subpectoral augmentation, and how that might influence the type of lift they perform. Without a lift, your breast tissue will hang off the anterior implant (especially with a subpectoral implant position) and this will be undesirable. Subglandular augmentations have a higher risk of capsular contracture, and my preference is for a subpectoral implant position even though that makes the lift a bit more difficult.

A combined augmentation and lift is a more technically difficult operation, in terms of planning and execution, because you are trying to do opposite things to the breast at the same time. Even in an experienced surgeon’s hands, revision rates are higher than they would be for either operation alone.

Speaking with more than one surgeon may be helpful so you find a relationship you are comfortable with.
Best wishes, Ken Dembny

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon
4.9 out of 5 stars 34 reviews

Breast Augmentation vs. Breast Lift

Breast augmentation alone would not be optimal for you because your nipples will be too low.  Your best option is a breast lift with or without an implant.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 50 reviews

Lift or augmentation?

From your photos, and the fact that you are not really interested in larger breasts, I would recommend a lift without implants,  This should give you better shape as well as symmetry.  If, at a later date, you should wish more fullness or a larger cup size, augmentation could be done then.

Michael Leff, MD (retired)
Bellevue Plastic Surgeon
5.0 out of 5 stars 10 reviews

Implants or Lift.......?

I would definitely recommend a lift to improve your shape and minimize your drooping. I always tell my patients that no one needs implants. However, it also appears as though your Left breast is a little more droopy and maybe slightly smaller than your right.  If this is the case, I would recommend a small implant on the left to correct the volume asymmetry.   You always have the option of placing implants on both sides if you want your breasts larger, but there is no way to have implants inserted to improve your shape without increasing your volume.  I would not recommend getting implants without a lift in your case due to the amount of drooping. 
Good Luck!
Dr M

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 113 reviews

Do I need a breast lift or implants?

The plan for surgery is always best made at the time of examination. Judging from the photos it appears that you would benefirt from a breast lift with the incision restricted to the areola. You should probabbly also have implants inserted simultaneously to ptovide some filling, especially of the upper pole. You should consult with 1 or more Board Certified plastic surgeons to best determine the plan for surgery. Good luck!

George Lefkovits, MD
New York Plastic Surgeon
3.8 out of 5 stars 46 reviews

Breast Lift or just implants?

It is very difficult to tell from your pictures as the angle that the picture is taken from is not consistent. Your surgery should be based on the desired result, Implants do an excellent job of filling but not lifting, Breast lifts do an excellent job of lifting but not filling, if you combine them you get the best of both worlds but it is a difficult surgery and must be performed by an expienced breast surgeon. Hope that helps.

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 85 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.