Can I get away with implants, or is a breast lift going to be necessary? (Photo)
Doctor Answers 39
To Lift or Not To Lift
The decision to do an augmentation by itself versus an augmentation with a peri-areolar lift or an augmentation with a lollipop lift is less based on patient preference and more dictated by the nipple position and the ratio between the post-augmented breast volume and the amount of excess skin you have.
The less breast tissue you have, the smaller the implant, the closer the nipples to the breast fold, and the more excess skin you have, the greater the chance you will need a lift and the greater chance you will need a vertical scar to achieve a natural aesthetic outcome.
A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.
All the best,
Breast Lift vs Implants
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Breast lift with augmentation
Dr. Lane F. Smith, MD
Las Vegas, NV
Breast Lift vs. Implants Alone
Based on the pictures alone, a breast lift will give you a far better result than implants alone. Implants alone will sit higher on your breast and your areola will be lower than the implant, and that won't look very good.
With regard to mastopexy (breast lift) scars, the issue is more about ultimate breast shape. Based on the pictures, the more limited mastopexies (crescent and donuts) may not provide a adequate and lasting lift. Although you may have more scars (just the addition of the vertical scar, which typically heals very well), the lollipop lift will probably give you the better shape ultimately. While scars are important, the majority of my patients put more importance on having a phenomenal breast shape, and are ok with the scars to get them there.
If you aren't happy with the first opinion, you can certainly visit with other plastic surgeons for an in-person examination and get their recommendations as well. Best of luck!
Lift or not
Lift with breast aug
Unfortunately you will need to raise the nipple with a lift to obtain a more pleasing look. However if you are not looking forward the scar, you may consider just the augmentation knowing that the outcomes might not be as pleasing with a malposition nipple. You can always do the lift in the future if the scars become less worrisome to you in the long term.
Finally, make sure that your doctor is aware of your process. He should be able to guide you best in your care.
Wishing you the best in your journey
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.