Breast Lift with Very Small Implants to Change Shape and Not Size???

I had a breast reduction 6 years ago (best thing I ever did for myself). Two children later, my breasts are saggy and low. Is it possible to have a breast lift with small implants to simply change the shape of the breasts instead of trying to make them larger? I want round perky breasts, but not bigger breasts. I went from a DD to a mid-C for the reduction. I'd like to stay in the C-cup range. Thanks. (No more pregnancies in future...)

Doctor Answers 15

How to determine if volume is needed with your breast lift

If your sagging deflated breasts fill a bra that defines your desired figure, then a lift is all you need.  The careful removal of excess skin only will not reduce your volume significantly.  If there is a desire for more cleavage or fullness in the bra, then consider the extra volume provided by a small implant.  Beware of the surgeon who offers a breast tissue "reduction" combined with an implant which is really a net gain of zero, but with extra cost to you.

Good breast lift does not need implants.


Using your existing scars, you can get perky shape with just a breast lift. Or small implants can be used at the same time to make you a little fuller.

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

Options for Lift Without Increasing Size

Your question is a good one, which we encounter frequently in our practice.  It is possible to lift and reshape the breast with breast lift, alone.

You are right: we can use an implant to improve shape, particularly for more fullness in the upper pole of the breast. Depending upon the requirements of your anatomy, tissue elasticity, and aesthetic goals, use of an implant to provide adequate shape can be combined with removing some breast tissue to avoid excessively enlarging the breast.  The rationale for combining breast augmentation with breast reduction is that the implant will provide long-lasting fullness to the top part of the breast, while lifting your natural breast tissue will likely settle and leave a less full and round shape to the breast.

Schedule your personal consultation and evaluation, so these alternatives can be considered based on your preferences and priorities.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.5 out of 5 stars 27 reviews

Breasts saggy after Pregnancy - Breast Augmentation or Breast Lift

You have several options for your breast surgery. A breast lift can be performed to lift the breast without an implant and to maintain your current size. If you wish to have more volume in the upper pole of your breasts, then a breast lift with small breast implant maybe a better alternative. A third options would be autoaugmentation, where your own breast tissue is used to create an implant like look (i.e. perkier) breasts. The scarring is generally larger with the latter option, so you should decide what is more important for you: not having a breast implants or minimizing the scars.

Ankit Desai, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 19 reviews

Changing shape of breasts

If you do not want to be larger then you should  not have implants placed.  If you want the breasts lifted and the skin envelope tightened, a breast lift may be the solution.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

Lift and implants with slight reduction to alter shape and not size.

This seems like a reasonable plan and I just performed that procedure today on an individual with similar breast changes following massive weight loss. I perfromed a lift with very slight reduction and small implant to achieve a fuller rounder similar sized breast.  

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 69 reviews

Fuller Breasts After a Breast Reduction

The key element to determine whether you need a lift or implants or both is dependent on the position of your nipples.  In general, if your nipples are above your inframammary fold, you can usually just perform saline or silicone implants below the pectoralis muscle alone .  This is quite safe and will give you the fullness you desire.

However, if you have true breast ptosis, whereby your nipples are below your inframammary fold, it becomes more complicated and adds a degree so risk for potential nipple and or skin loss as well.   It can be done safely if one uses a smaller implant with the lift. 

I have done many patients with previous breast lift/reduction incisons . You have to be more careful and perform less undermining to preserve the blood supply to the breast skin and nipple areas .  This is why your really need to carefully select an experienced Plastic Surgeon with alot of experience and expertise in revisional breast surgery 

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 40 reviews

Breast lift with small implants- good combination

Yes, it is understandable that you want a better shape with out a significant change in size. A lift of the breast elevates the breast tissue  to a nice shape but it does reduce the breast a little or as much as a half cup if there is a large skin component removed. Implants provide the missing volume and give superior fullness where it is usually needed. So you get a great shape and maintain size. It is a more  difficult surgery so try to find a plastic surgeon who is very comfortable performing these procedures.

Sheila Bond, MD
Montclair Plastic Surgeon
4.5 out of 5 stars 38 reviews

Breast Lift and Small Augmentation after Reduction

Yes it is certainly reasonable to have a lift and a small augmentation to improve your breast shape.  The most important step you can take would be to either obtain the surgical record for the surgeon who performed the breast reduction or return to him or her for your lift and augmentation.  How the breast reduction was performed is important information to help assure the health of the nipple-areolar complex for your subsequent surgery.

Dr. ES

Elevate and change shape

Sure.  Small implants are used (low profile) to fill the upper pole.  your end result can be close to your preop cup size, but with a rounder, fuller appearance.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 5 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.