Will my breasts be lifted with implants alone or should I consider a breast lift as well? (photo)

There are a couple of things to know first. Number one, a breast implant doesn't lift the breast so if you had an implant placed without any lift, your implant would be in the correct position but your breast would just be in the same position it is now and would be falling off your implant and it would look very unusual.

The next thing to understand is you have the maximum amount of droop you can possibly have and the more droop you have the larger the incision. So for someone with a very minor amount of droop an incision just around the areola is enough to lift the breast. When you have the maximum amount of droop will need a full mastopexy scar which looks like an inverted 'T', or also known as an anchor incision.

Finally I would caution you about getting implants because in the photo you have provided it looks as if your breasts are very wide. Typically patients with very wide breasts are not good candidates for an implant as the implants tend to be more narrow than the breast and there becomes a mismatch between the breast width and the implant width and the implant just settles down and out. This leaves the patient with an empty upper pole to breast and a heavy breast in the outer, lower quadrant of the breast and the breasts typically don't look very good and the patients are not very happy.

Something that doesn't get said very often is that not everyone is a good candidate for a breast implant. I left a video link for you.

When looking at your photo, your nipple placement is very low and points downwards. You also have a lot of length to your breasts which is all extra skin. Your breast tissue is at the bottom of your breasts. In order to get rid of the sagging and bring your nipple placement back to normal position you will need a lift for sure. If you are looking to add volume and shape as well, adding implants would work very nicely along with the lift.

The excess skin needs to be removed, and this requires a vertical and horizontal scar. An implant will improve upper pole fullness, but will not lift the breast. Repositioning of the areola is necessary, and lifting the entire skin envelope of the breast needs to be lifted and reshaped. Implants are not necessary, but do improve the aesthetics of the final result.