Am I candidate for a breast augmentation without a lift? Will implants look too saggy? (photos)

While an implant with a lift would likely give you a more reliable result, it is not the wrong answer to begin with an implant only. In particular, I would utilize a high projecting implant that fits the width of your breast in order to elevate the nipple as much as possible. If you are not happy with the way that this looks, you can always opt for a lift at a later time. In general staging the procedures, with the augmentation and mastopexy (lift) at different times, is also a way to more reliably get you better breast symmetry.

Thank you for your question.
Based on the photos provided, a breast augmentation without a lift will give you a more natural appearance. However, if you were looking for better cleavage and upper pole volume, a lift would be beneficial. Eventually, the implants will fall due to gravity, so you may warrant a breast lift in the future. I recommend speaking with a board certified plastic surgeon to discuss your concerns.

The implants need to be centred behind your nipples, which are located below your breast fold. As a result, the implants would sit rather low on your chest. For this reason, a breast lift is recommended.

Great question
It all depends on the look you are going for. The nice thing that in our practice we have the vectra 3-s simulation system that can show you your options with different size implants and with or without a lift.
You can also see surgeons before and after photos with your type breasts and see what you desire. Hope that helps.

Thanks for your inquiry, though I agree you would benefit from a lift, there is no way to predict when the drooping would take place, but the smaller the implant better. Good luck.

Based on your photos, it is highly likely that a lift (mastopexy) would be ideal for you to achieve optimal breast shape. The true decision is based on the measurements that an experienced surgeon in breast surgery should make. Please see a board-eligible or board-certified plastic surgeon for a consultation, ideally one with a 3D imaging system to help visualize your outcome.

I think you can have breast augmentation without a lift. Although it’s more “ideal” to have a lift simultaneously, with an implant that isn’t too large, you can have a very nice and natural result without the lift. At some point, however, your breasts will continue to sag and you will want to make them more youthful by having a lift. If you have the lift now, you can have that more perky look from the beginning, but the trade-off is more scars.

There are three possible outcomes for you without a lift: waterfall deformity with the appearance of high riding implants, waterfall deformity with double bubble, or rock in sock deformity with low riding implants. The reality is your breasts will be optimized in appearance with a lift and the attendant scars associated with it. Going to an expert will minimize scar visibility and most women don’t even see their scars after a while.

Great question. Implants alone are not worth the hazle and here’s why. Implants might give the ilusión of a lift sometimes, but they actually never lift. They only fill out the breasts. In your case implants will fill out the top portion of your breasts only. The bottom portion, which is where most your breast tissue is, including your areola will still sag bellow the implants. Sometimes we can avoid this by using very big implants. But I feel your areola is so low for very big implants to work. Maybe maybe large implants with a circumferential lift is a good middle of the round option. This only leaves a scar around the areola so you actually get a rounder prettier areola. Maybe even a smaller areola if you wish.

Best of luck,
Dr. Miguel Mota

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. Only significant weight change or being stretched from the milk of pregnancy can cause sagging after completly healed- not the implants themselves. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA