Is there anyway I can have breast augmentation for more lift & fullness without the cutting of a lift? (Photos)

Hello!!!Thank you very much for your question!I don't think you will have a good result without the breast lift.But a breast lift with bad scars is not a nice surgery .When a patients had bad scars from other procedures,I sent them to superficial radiotherapy,next day after surgery.This has been working in most of the patients,but not in everyone.Best Regards,Dr. Alejandro Lev

Thank you for your question. Looking at the photos you have provided I would recommend a breast aug with a lift . I don't believe you will receive the appropriate cosmetic look to the breast just by adding the implant. I understand the fear of scarring, unfortunately we can't predict how that will heal. I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss your options. Best of luck to you.

Your nipples are pointing downward and are located below your breast fold, therefore a vertical lift would be recommended if you want to be perkier. This would leave you with a visible inverted T shape scar. If you get an inframammary incision, you may also be left with a scar running horizontally within your breast fold. Therefore, both procedures would involve scarring. You may want to seriously consider whether either procedure would be worth the scars since you have a history of irregular scarring.

Breast augmentation alone can provide a small amount of lifting of the nipple, approximately 1-2 cm maximum. Any additional lifting would require a mastopexy/lift procedure. Depending on your goals a periareolar mastopexy could provide you with a lifting effect as well. In person evaluation would be best to make this decision. It is good that you recognize that scarring will always be present with a lift procedure. In a periareolar mastopexy, the scars are placed around the nipple and therefore can be slightly less perceptible, although still present. If it was determined in an examination that a vertical mastopexy technique( AKA lollipop type incision) Was required to give you the appropriate lifting,nI would recommend aggressive scar management for you.
I perform breast augmentation and breast lifting procedures commonly. Please see attached link for more information from our practice

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

As you pointed out, breast augmentation will increase the fullness of the upper portion of the breasts. Based on your photos, your nipples are toward the bottom of your breasts, so you have an element of breast sagging. The best way to address that is with a breast lift and its associated scars. Without a breast lift, the nipples will not be appropriately positioned on the implants and will be too low. If that would not bother you, then you can proceed with breast augmentation alone. You can always add a breast lift at a later time if you are not satisfied with the nipple position.

You clearly need a lift along with an implants. The lollipop lift is a good option because it is done without the long scar under the breast

Thank you for your question. You would benefit from a breast lift. You’re a good candidate for a vertical only mastopexy where the incisions are around the nipple and straight down the center of the breast. Unfortunately just performing a peri areolar lift would be an inadequate for you. The scar down the center of the breast tends to heal very well, but unfortunately it is still a scar. Good luck

Thank you for sharing your question and photographs. Although I understand your desire to minimize scarring, it appears that you would most benefit from implant placement and a lift.  The implant will help add the upper pole fullness you desire, 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

Dear ms_martyb,
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