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You are on the borderline of needing a lift. If you go with a larger implant (350cc +), it will likely get you the volume you need to improve you nipple positioning without the scars from a lift. If you want a small but perky breast, a small implant will probably look best with a lift. Another consideration is placing the implant subglanular so that it has a better chance of settling in the native skin envelope. Assuming you are interested in a large enough implant, I would start with the augmentation and see how everthing settles. You can always go back and add the scarring with a lift if it determined to be necessary after several months.
Hello, for people with only mild-to-moderate breast sagging (i.e. the nipples are not pointing straight down on the breasts), many will seek to have breast implants alone. There is always the option of having a lift later on if they are unhappy with the result. However, the right procedure for you depends on multiple factors, including your expectations of the final result in terms of shape and nipple positions, tolerance of the risks/costs/scars of breast lift surgery, and the advice of your plastic surgeon. For my own patients, I encourage them to look at lots of before-and-after results of breast implants alone, compared with implants + lift. This will give them a better idea which operation will meet their goals. Thanks and I hope your research goes well.
From your photographs, even with large implants, you would probably need a breast lift to reposition your nipples. Larger implants rarely change the position of the nipples much and sometimes make them lower. Another approach is having the augmentation and living with it for a while and deciding whether you want to proceed with a breast lift and the added scars. This is not ideal because you may need to surgeries… A discussion with a board certified plastic surgeon would probably go far to give you more information and realistic expectations of the different approaches.
A lift is recommended when the nipples are located below the breast fold, rather than basing it on the size of the implants. It does appear that your nipples are below your breast fold, so you may benefit from a lift and implants.
Dear kb1009,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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
