Should I get a breast lift or bigger implants? (Photos)

Question

I really hate how flat my breast are after pregnancy 6 years ago. I would really love round breast with cleavage but I feel like I will need a lift :( could I achieve bigger round breast without a lift just bigger implants? I'm 5ft 110 pounds

Warren Schutte, MD · Answer

Based on the photos provided, you appear to be a great breast augmentation candidate. Your Nipple Areolar Complexes are at the maximally projecting point on the breast so a breast lift at this point would not change your aesthetics but maybe a few cm's. An augmentation would give you fuller more round breasts, more projected, slightly elevated and more taught look. It sounds like an implant will accomplish your aesthetic wishes.

Albert Ko, MD · Answer

Hi there! Thanks for your question. The decision is really based on your goals and expectations. If you are simply looking for more fullness and volume, then you can absolutley just do an implant. But if you are hoping to lift the areolas and breast then I would reccomend a lift as well!

Leila Kasrai, MD, FRCSC · Answer

If you want a rounder breast shape and improved cleavage, you would probably need a lift since your nipples sit a bit low on your chest. The lift would give you more upper pole fullness and the implants could enhance the roundness.

Gary M. Horndeski, MD · Answer

Bigger implants will not solve your problem and will make it even worse. Your breasts are too low on the chest wall. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jonathan Heistein, MD · Answer

Hi.  I think you can have a breast lift, or bigger implants, or both.  If you have the breast lift by itself, then you won't have more fullness and roundness at the top.  If you have larger implants exchanged for your current implants, you will have more fullness and roundness, but you will still have a little sagging like you do now.  If you want to have fullness/roundness AND perkier breasts without sagging, then you can have both.  The advantage of doing it with the implants alone is that there are no large and visible scars.  If you have the lift, then this will add more scars to your breasts... it's a tradeoff.  Talk to your surgeon more in depth about these options so you can make an informed decision, and so you will be happy with the outcome.  Best of luck!

Daniel Barrett, MD · Answer

Dear xhcx,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Finny George, MD · Answer

Hi, thank you for sharing your question. While making an assessment for a surgical plan is never ideal using just photos, based on the photos, you seem like you may benefit from both a small lift and larger implants to give you the fullness and cleavage you desire.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Nothing replaces an in-person examination but you would most likely do best with a lift and implant placement. The implant will help restore lost breast tissue after pregnancy and weight loss, while the lift will remove excess skin and allow for resizing and repositioning of your nipple into a higher, more youthful, position. Hope this helps

Camille Cash, MD · Answer

An exam is always best but based on the photos you'd have the best result from a lift with implants.  The implants would give you the extra volume, including upper pole volume, that you want.  The lift would raise the position of the nipple to improve shape.  Larger implants won't raise the position of the breast but instead would give you a larger version of what you have now.  Visit with a board certified plastic surgeon near you to learn more.

Jorge Galaz, MD · Answer

You can get large implants placed subglandular, that will help with the overall look and will lift a bit your breast. I believe it would give a good result since you have mild ptosis.
If you want the best result possible, you would probably need a lift. It may be donut, lollipop or anchor.
Regards, Dr. Galaz

Should I get a breast lift or bigger implants? (Photos)

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