Can I do implants without a lift? (photos)

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Hello, thank you for your question.  It seems like you can benefit from a breast lift with implants, an augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.

Based on your photos, in your case and to be able to achieve similar results your wish photos, a breast lift procedure along with the augmentation would likely to be recommended. It is best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello and thank you for the photos and question!  If you did just an augmentation your breast would be low and over time will need a lift.  My recommendation would be to have an augmentation with a lift to bring the nipple up and give you that young perky full breast.  When consulting with surgeons be sure to consult with a board certified plastic surgeon.  Best of luck! 

Thank you for your question.  Looking at the photos you have provided I would suggest a breast augmentation and breast lift to be done to get you close to your desired look.  I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you. 

To most accurately answer your question would require an examination. Based on your photos, you have significant drooping, or ptosis , in your breasts. The breast on the left side of the photo is lower than the left. You can correct a great deal of this with an augmentation alone, however it would probably make you larger than a C cup and still droopy in appearance. In my opinion, the best cosmetic result would be achieved with augmentation and mastopexy. If keliod formation is a great concern, however, this may not be a reasonable option. Consult an experienced surgeon to review your options.

Thank you for sharing your question and photographs.  Unfortunately based on the limited views supplied it is difficult to offer definite advice, but it appears that you would most benefit from implant placement and a lift.  The implant will help restore lost breast tissue after pregnancy and/or weight loss, while the lift will remove excess skin and allow for resizing and repositioning of your nipple into a higher, more youthful, position.  Hope this helps

Patients need an in person evaluation from a board certified plastic surgeon for breast augmentations with a mastopexy or lift. There are so many things to consider such as skin quality with stretch marks, nipple position, volume of breast tissue plus so much more. If a nipple sits below the level of the breast fold then patients often need a breast lift or mastopexy with their breast augmentation. Best of luck to you.

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photographs, the best shape and contour could be achieved with an implant and a breast lift. Your nipple sits below the inframammary fold and without a lift in addition to the implant, this will not have a natural shape.  A breast lift with an implant can result in a very nice shape if good technique is used.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive (some want smaller less droopy breasts and others want larger less droopy breasts).
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision/transverse limb.
When a woman wants the volume restored (in the upper pole), or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children.
Based upon your photo alone, you would benefit from a lift in concert with an augmentation. I understand your keloid concern. However, if a lift is needed and augmentation is unlikely to be adequate. That being said, you might consider staging, as this will allow you to evaluate your breasts with augmentation alone and decide whether the improvement is worth the risk of additional potentially unfavorable scarring.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon (ABPS). Patients should discuss their concerns with their physicians in order to make an educated decision.
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
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