Can volume after breast feeding and weight fluctuation be restored with implants alone or should I consider a lift?

Thank you for sharing your question. Whether volume after breastfeeding and weight fluctuation can be restored with implants alone or if a lift is also needed largely depends on the degree of breast sagging. If your breasts have a mild sag but primarily lack volume, implants alone might sufficiently achieve a fuller look. However, if the sagging is moderate to severe, where the nipples are positioned below the breast crease or point downwards, implants alone may not provide the desired lift and shape. In such cases, combining breast augmentation with a lift (mastopexy) would be necessary to lift the breast tissue, reposition the nipples, and add volume, leading to a more youthful and uplifted appearance. Consulting with a board-certified plastic surgeon can help determine the best approach based on your specific breast anatomy and aesthetic goals.

Thanks for your question. Actually without seeing you in person & without any breast photos attached it is difficult to say whether you need only implant to restore your volume or combining breast augmentation with a breast lift. The most important thing is the degrees of sagginess and volume you need. Various factors will come into play when making this decision. I would recommend to start your journey with a consultation with a board-certified plastic surgeon, with years of experience. That would be the best for you.

Dear bbarry368,
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