Will Breasts Stay Perky with a Lift Without Implants?

In reality, it is hard to make the breasts look perky with just a lift, no matter how much breast tissue you have of your own.  To achieve the upper pole fullness that so many women want, you often need the implant underneath to maintain that look.  Initially the breasts will look perky without implants, but after a few months, as everything settles and stretches somewhat, you lose that upper pole fullness.  Without the implant underneath to add shape, the breasts can look somewhat empty in the upper pole areas.  I hope this helps.

Although you are likely to achieve a fuller look with a lift, it is unlikely that you will be able to achieve a firm result without the use of an implant. Furthermore, any weight changes or subsequent pregnancies can effect your results and diminish the effects the lift.

Breast lifts come in a variety of types- some simply remove skin to reposition the nipple, and some fundamentally alter the architecture of your breast and redistribute breast volume, raise the infra-mammary fold, raise the nipple etc. Seek out a board certified plastic surgeon to examine you and plan a breast lift. The results won't last forever, but in general, the more extensive breast lifts that re-arrange breast tissue have the best longevity.

The simple answer to your question is that all versions of breast lifting can be successful at maintaining the nipple elevation but not the roundness and fullness in the upper breasts. Despite a lot of effort in trying to solve the problem, no method has been proven to last. On the other hand, you may not want implants because they will increase the size of the breasts. There is some experimental work being done with a biologic "internal bra" but it isn't available yet.

 Thank you for the question and picture.

 It is hard to give you good advice without direct examination but most patients your age who are asking for “perky” breasts end up having breast lifting and augmentation surgery. Often, there is a deficiency of breast tissue to allow for sufficient fullness without the use of breast implants.  You may want to consider postponing surgery until you have completed pregnancies.

When the time is right, do your due diligence,  in the process of selection of plastic surgeon. 

Best wishes.