Is breast lift necessary or can implants on their own volumize and lift my breasts? (Photos)

Implants alone may be sufficient, although it would be a good idea to choose proportionately sized ones as this would slow the rate of sagging.

Hi, thank you for sharing your question. Based on these photos, I don’t think you need a lift. A dual plane augmentation will give you an excellent result.

Implants provide volume but very little actual lift. That being said, you don't have a great deal of sagging to your breasts and could probably get by with implants alone. The need for a lift depends on your goals. Most women would rather leave some sagging than have the extra surgery and scars from a lift. Discuss the anticipated outcome with your board certified surgeon who can then guide and help you to make the right decision.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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., US

Your photographs are inadequate since your arms are elevated. You will need to submit photographs with your arms at your side. However, if there is not a significant change with your arms down, then I recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

I don’t buy into the notion that large implants lift the breasts. However I would let you make the choice as to whether you want a lift or not. From my perspective I think you need a lift

Your nipples are well above your breast fold, therefore you do not need a breast lift. A breast augmentation would give you a fuller rounder breast shape. This would also fill out your upper poll that you are concerned about. Good luck.

Dear WaterMoon86,
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

Although your nipples are probably in a good position, you do have some sagging breast tissue. You probably could do well with just implants, but the lift would pick up the sagging breast tissue. Measurements are needed to be certain.

Good day and thank you for your question. You would be an ideal candidate for a breast augmentation with implants. I don't think you would require a lift as your nipple position is not low enough to warrant such a procedure. If you are interested in having more fullness in the top and with a moderate lift in your breasts, a breast augmentation with implants would be your best bet. Good luck with your journey!
Cheers,Joseph Batac, M.D.
Double board certified Plastic surgeon