Wanting a breast enlargement. Do I also need a lift? (Photo)

Hi,After reviewing your photos I can tell that you have good breast footprint, and you will have good result with breast augmentation with implants in terms of breast volume increase. In my opinion the BEST result will be achieved with a breast augmentation with implants and a small periareolar lift, so that way you can elevate minimally the nipple position (so they will be symmetrical in position) and reduce the size of the areola.Hope this will be helpful.Dr. Enrique Quiros Lim

Hello and thank you for your question! On the photos I see mild ptosis and asymmetry and think you will be able to get a great result with breast augmentation alone, especially if the implants are not too large for your frame. (the weight of larger implants will cause a greater degree of sagging/ptosis faster). With the pre-existence of mild ptosis, you are, however, at risk of needing a revision that incorporates a lift sooner than later, so there may be a benefit in doing a very small lift (crescent/circumareolar/lollipop) now at the time of primary augmentation vs a "larger lift" (more incisions/scars) 5-10 years down the road. This would be best determined in an in-person consultation with a board certified plastic surgeon.

Your nipples are located below your breast fold, therefore a lift would be recommended. Without one, the implants would sit a bit too low on your chest to give you any fullness in the upper portion.