Do I need a Breast lift? Would I achieve even results from implants alone? (photos)

Question

I am booked to have a BA and lift, my number one concern would be the scaring from the lift, and wondered if it’s necessary I have to have a lift as well? My surgeon has made it clear that my nipples would sit uneven but would that be extremely noticiable? I haven’t had any children yet and thought to just have the BA and after children focus on the lift? Or would you recommend doing it all first. I am just looking for a second opinion. Thank you

Leila Kasrai, MD, FRCSC · Answer

Your surgeon most likely recommended a lift to improve symmetry. The left one seems to be sitting lower than your right, so the surgery would lift the left to make it more even with your right. However, if you don’t mind the asymmetry, breast augmentation may be enough.

Zoran Potparic, MD · Answer

Your areolas seem to be in different position, one lower for 1.5-2 cm than the other. If you want to correct this, a small lift on that side is needed; very likely incision around areola (donut lift) will do it in your case. If you do not want additonal scar, just do the implants and accept asymmetry, which is not significant. Good luck.

Thomas A. Mustoe, MD, FACS · Answer

It is true that with breast augmentation alone your nipples will still be uneven but asymmetry is normal.  You do not need a breast lift for any other reason and I do not think the scars are worth it.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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. They then get to 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. Mildly Sagging Breasts: 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. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Miguel Mota, MD · Answer

To lift or not to lift. That is the question! Breast augmentation alone might be a good option if you are ok with maintaining more o less the same asymmetries after surgery that you have now. It will be noticeable.
But, I feel that you can avoid traditional breast lift scars with a circumferential lift, also known as a Benelli Lift. This is a scar around the areola only that will help lift the breast and areola. This lift might not be perfect, but I feel it is your best option. A good middle ground. It will make for much more symmetrical breasts and better nipple position without excessive scarring, especially on your left breast.
Best of Luck,
Dr. Miguel Mota

Daniel Barrett, MD · Answer

Dear Optimistic844862,
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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Scott W. Vann, MD, FACS · Answer

Your nipples are well above your breast fold so you do not need a breast lift to get a nice full result. With no lift you would still have the mild asymmetry of breast shape and nipple height but you could avoid the scars. I would recommend a breast augmentation only. You could add a lift in the future if needed but avoid the scar and cost of the lift for now. Good luck.

Ronald J. Edelson, MD · Answer

I think you’d be fine with implants only. Your nipples are a little low but not enough to require a lift. However if you want your nipple height evened a lift could accomplish that

Camille Cash, MD · Answer

You have some asymmetry which will still be present if you proceeded with implants alone.  If you have the lift you will have improvement there.  If the difference in the nipple heights isn't bothersome to you it appears you could have augmentation alone.

Connie Hiers, MD, FACS · Answer

I would recommend doing the lift for the lower breast along with implants for both. Without the lift, you will be uneven, especially in bathing suits.

Do I need a Breast lift? Would I achieve even results from implants alone? (photos)

Answers (11)

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