Breast Lift Without Implants for Small Breasts? (photo)

Thanks for the question. Some patients might have inadequate breast tissue. In case of gland and fat tissue decrement due to breastfeeding and for the patients with saggy nipples, we definitely need to apply silicone prosthesis procedure for breast lifting. I wish you all the best.

Thank you for your question, and for posting your photographs.  You would likely be a good candidate for vertical mastopexy, with the understanding that your breasts would indeed remain fairly small.  The use of breast implants would impart additional fullness to the upper pole of the breast; if this is not your priority, and excellent result can still be attained with breast lift alone.  The areola would decrease in size and sit higher on the chest wall, and the overall breast shape would be quite a bit rounder.

Often small #implants or fat are used to restore fullness to the upper portion of #sagging breasts during a #BreastLift. However, the procedure is customized to the needs of the patient. Such will be discussed in greater detail during your consultation with Dr. Nichter or Dr. Horowitz to learn about the options best for you.

That is a great question. It is difficult to decide on whether or not a prospective patient will need animplant without properly examining her. The only way to know is to have a physical consultation with a surgeon. Your measurements and FEEL of your breast tissue dictate everything.  This should have little to do with what you WANT but rather what you need….that is if you want a natural result. However, it is correct to assume women with smaller breasts and less sagging can sometimes get away with a breast lift without an implant. Although sometimes a lift without an implant can leave a breast deflated. I hope this has helped.  

You are a good candidate for breast lift surgery.  The implants are only required if you want to be a larger size.  As part of the lift, the areolas may be raised and decreased in diameter.

         It’s not unusual for
women with small breasts to request breast lift surgery when breast sag is
present. Although the majority of these patients also want breast augmentation,
a significant number are only interested in a breast lift.

 

         In this group,
breast lift can be performed with high satisfaction rates. A variety of
surgical options exist to treat this condition. The exact procedure chosen
would depend upon the patient’s aesthetic goals, physical examination and
degree of breast sag.

 

         Your pictures
suggest that you would be a good candidate for either a circumareoler or lollipop
mastopexy depending on the specifics of your physical exam. Consultation with a
board certified plastic surgeon would be an appropriate next step. This surgeon
should be able to help formulate an appropriate treatment plan. 

Thank you for your question and the photos. Yes, you can have a breast lift without implants. The only difficulty is that fullness in the upper part of your breast is usually only long lasting with the addition of a small implant.

Another possibility to consider is a small amount of fat transfer (fat grafting) in the upper part of your breast at the time of breast lift.  It could give you that little extra you are hoping for without the implant.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

Yes, you certainly can have a lift without implants, especially knowing you are comfortable with your size.

When it comes to breast lifts, the most important element in patient satisfaction is realistic expectations. Remember that the results aren’t permanent. Gravity, aging, and weight fluctuations can take their toll on your breasts again. Scarring will be considerable, even in “minimal incision” breast surgery. Be prepared for these outcomes before going ahead with a mastopexy.
Mastopexy is very much a three-dimensional operation. If you combine it  with  breast  augmentation,  which  is  also  highly  three-dimensional,  be prepared to experience some differences from one side to the other. This may not happen, but the odds increase as you add two procedures together. Another possible complication when combining mastopexy with implants can occur if the muscle attachments are not properly released or the skin envelope isn’t tightened. In this case the nipple can be forced downward, creating a “double- bubble” look as the breast hangs off the high-riding implant.  All the best!  Dr. Joe 

If you are happy with the size of your beast and have enough volume, yes you can certainly get a lift without breast augmentation. A breast lift involves reshaping and depending on your status before surgery, a breast lift without implants can still achieve a fuller and rounder breast. However, if there is significant loss of volume and sagging, an implant can be added at the same time of surgery. I hope my answer helps.

Hi Amy,

Allow me to suggest a new technique called the Ultimate Breast Lift. This technique lifts the breast and creates an internal living bra' to minimize downward descent. Unlike standard techniques which rely on the skin envelope to hold the breast in place. Breasts are firm and perky with minimal scarring. Scars are hidden around the areola and in the inframammary fold. Best of all no vertical scar. Patients are thrilled because upper pole fullness is achieved without the need of implants which can stretch tissue and create a bigger problem. It's worth looking into. Best wishes, Dr. H