Breast Implants Without Going Up in Size?

Hi !

Briefly, yes it is possible. The answer to this question is quite simple: yes, you absolutely can. This procedure is breast lift surgery and it  is a popular procedure intended to elevate and contour the breasts for a rejuvenated appearance. During the operation, excess skin can be removed, the nipples can be repositioned, and breast tissue can be reshaped to help restore a more youthful and natural-looking results. Breast lift (also know as mastopexy) can correct breast sagging and eliminate excess skin with a small implant and at the end of this procedure you will have the same size as before. 

It is possible to make your breasts appear fuller with breast implants, however because of your size, a breast lift would be better suited to achieve your goals. A better evaluation can be obtained by consulting in person with a board certified plastic surgeon.

With time breasts loose their superior pole fullness and also sag. Unfortunately for most both an implant or in some cases a fat transfer ("California breast lift") to replace the upper pole of the breast fullness as well as a lift is needed for optimal results and the happiest patients.

I do not think you would be happy with the implants alone but you may benefit from the use of fat grafting.

Sometimes it isn't an either/or situation. When breasts sag, there is often a component of volume loss that contributes to it and this can only be corrected by adding volume back with implants. The implants do not have to be large but if you want some fullness to be maintained in the upper portion of the breast then you should consider it. On the other hand, implants without a lift for sagging isn't always a good long-term option either. Most of the time (but not always) a combination of a lift and implants gives the desired result, and in my experience the short-scar techniques tend to work best when combined with at least a small implant.