Breast lift required or only breast augmentation? Also which cc's? (Photo)

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question.
Due to the volume of your breasts, I do not believe you will need a breast lift. A breast augmentation should give you the aesthetic and results you desire. I would speak with a board certified plastic surgeon to discuss your goals and for further evaluation.

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, and they 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. 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.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hi, thank you for sharing your question. You are a good candidate for breast augmentation alone without the need for a lift. The exact sizing and implant characteristics should be discussed with your surgeon after a formal evaluation.

Dear simiku,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You don't need a lift, but an augmentation would look nice. I would suggest meeting with a board certified plastic surgeon, being examined and measured, and trying on the range of sizes that best fits your frame and tissue. Then, you can actually see what size you like.

Thank you for your question and posting appropriate pictures. Based on your pictures you do not need a breast lift. Depending on your anatomy you would likely be able to have Implants larger than 500cc if you wish. Yes best to have a virtual consultation initially to decipher your candidacy and discuss options of course.

You have beautiful breasts now and do not require a lift. If you desire larger breasts with more upper pole fullness...go for it. The size depends on your desires. If we are talking about a moderate C cup, then I would venture to guess (without a physical exam or measurements) that a 325-350cc moderate plus X implant may be considered.

I would as seen in your posted photos offer only HP implant in the 450-550 cc ranges. Best to seek in person or virtual consult with....

Based on your photos, you are an excellent candidate for breast implant augmentation. No lift is required to achieve an excellent result. The size of the implant will depend on your desired outcome. A full in person consult is required for details so that you all the necessary information to make decisions guided by your plastic surgeon.