Is Breast Lift for Cup Size A Breasts Worth It?

Hi, I am a size A and nursed 2 children. My breasts did shrink but during pregnancy and nursing, they grew larger than a DD.

Now my size A breasts are no longer firm and the left over fatty tissue sort of was re-distributed and the extra skin falls out of my size A bras and my nipples looked stretched out. (Size B bras are two big on me and I still measure at an A).

I really don't want larger breasts or ANY kind of augmentation. (I like my small breasts) I want my firm size A's back.

Doctor Answers 18

Breast Lifting for A Cup Breasts Worth It?

Thank you for the question.

Whether you will be happy with the results of breast lifting surgery alone will depend on how much of your own breast tissue remains after pregnancies. If you find that on physical examination your breasts are quite “empty” then it is unrealistic to expect “firm” breasts after breast lifting surgery.  On the other hand, if you do have  enough breast tissue left in place,  this can be moved superiorly and used to create the look/feel you are looking for.

In person consultation with well experienced board-certified plastic surgeons will be helpful to you.

Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Implants are needed to get the firm, lifted breasts you want

An effective breast lift also reduces breast size.  A skin-only "breast lift" typically does not work very well.  In your situation, it is best to use small implants in combination with a breast lift.  This will also correct your stretched out areolae.  So even if you want to stay the same size, you need to have implants.  But they can be saline if you prefer, which are undeniably safe.  You simply need to get past your apprehension about implants, particularly if you want youthful firmness, which implants provide better than stretched-out breast tissue.  I would recommend that you view before and after photos of breast lifts and breast lifts with implants, including patients with small breasts, before making up your mind.  I've attached a link to this portion of my website.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 58 reviews

Breast lift for small breast


In our practice, we have many patients who have a small breast size and are looking for a breast lift but not for a significant change in their breast volume. These patients are excellent candidates for a periareolar breast lift or a lollipop incision. These are two excellent options to recontour the breast, re-create a pleasing and more youthful breast mound, and to minimize the amount of scarring on the breast skin.

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 108 reviews

Breast lift will give you small firm breasts.


I wish you were my patient!  You need a good INTERNAL breast lift that does not rely on tightening the skin.  You should end up with smaller nipples, a lollipop scar. and small, firm, perky breasts.  You absolutely do not need breast implants.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

A Mastopexy will help

By all means you may get a mastopexy or lift.  There are many way to perform this surgery.  I understand that you don't want larger breasts but after the mastopexy they will be smaller than they are now because the skin will be removed.  If that's okay then go ahead with it.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 34 reviews

Breast Lift with Small Breasts

It really is up to you to say if it is worth it or not. A lift will move your nipple and areola higher and tighten the skin. Most patients who have a lift done usually say that they think there breast is a little smaller.

A breast aug with a smaller lift will be the other option, to make your breast slightly fuller and lift the breast at the same time.

I would consult with a board certified plastic surgeon to go over your options in detail after examining you.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 78 reviews

Lift may not be appropriate for very small breasts

It will be very difficult and probably not worth you effort to just consider a breast lift with size A breasts. Your condition is more likely to be improved with a small implant and some type of a breast. lift. A consultation with an experienced plastic surgeon will help you make this important decision

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Difficult parameters

Without a breast aug, there will be no way to get uplift. However, the aug will increase the size of the breasts, and requires foreign material.

On the other hand, a breast lift will raise the nipple, remove excess skin, shape the breast, improve symmetry AND reduce the size. Is it worth it? Only you can say.


Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

Breast Lifting

Dear Nelliefar

A breastlift is always an option. Lifting tends to decrease the size of the breast. A periareolar lift can be done with a shortening of the nipple. Another option is that you can do a small amount of fat grafting to add volume and shape to the breast.

You would have to understand the risks of the procedure.

An implant is not always necessary, although a small one is a very good option.

With Warmest Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 118 reviews

A photo would help

It would be very helpful to see your starting point to tell you more. However, in most cases in which there is extra skin and droopy breast tissue, a lift can be done to tighten the breasts and lift the nipple. It won't make you any bigger and it won't give you upper pole fullness. If these provisos are okay with you then a lift can be done without implants.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 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.