Breast Lift with or Without Implants if I Don't Want to Be Any Bigger Cup Size?

Thank you for the question, but I think that you will do much better if you spend more time with your plastic surgeon as opposed to online consultants. Have your plastic surgeon demonstrate, in front of a full-length mirror, what is realistically possible with the breast lifting operation (only) in your case. Also, you may want to demonstrate to him/her what you mean by “upper pole roundness” and confirm that your goals are achievable, without the use of breast implants.

 Also, for your peace of mind, you may wish to ask your plastic surgeon to demonstrate examples of previous patients who have achieved the types of results you are looking for.

 Online consultants,  despite good intentions, will not be able to provide you with precise enough advice.

 Best wishes.

Hi islandgirl05,

     I am glad to hear  that your PS is planning on performing a vertical mastopexy where there will not be a horizontal incision.  This type of lift is a bit more challenging to perform and not done by all plastic surgeons.

     My concern is your final size and shape.  To perform this type of lift properly, a certain amount of your breast tissue will need to be removed.  The amount  required to be excised depends on the starting shape of your breast.  Therefore, you need to realize that you will be a bit smaller than your starting size. Additionally, you mentioned that you would like to end up with upper pole roundness after surgery.  It has been my experience that this is not possible without the use of implants.  Regardless of how tight the lift is performed, the upper part of the breast eventually flattens out.  An implant placed behind the muscle will be supported by the muscle and can give fullness and roundness to the upper part of the breast.  The implant will not, necessarily,make the breast bigger, as a small implant will suffice compared to the breast volume obligatorily removed by the lift itself.

Good Luck,

Ary Krau MD FACS