Will D Cup Breasts Look Good on Me with Grade1 Ptosis and No Lift?

My PS said I need a lift however in my pencil test it barely stays there before falling and my nipple is above the pencil. I cannot afford to do a lift and really do not want the scars. My PS is planning on doing complete unders, all 4 muscles and a saline implant. That is the only position he is willing to do on me. I'm afraid that I will never look good because I cannot get a lift. Based on my pictures and description, do you think the under the muscle implants will look good?

Doctor Answers 13


The position of the nipple and areola with relation to the inframammary crease is important. Even more important are some photographs!!

New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Will D Cup Breasts Look Good on Me with Grade1 Ptosis and No Lift?

This may be hard to answer even based on an actual exam. All the moreso without photos. 

If indeed you have grade 1 ptosis, this usually does not require a breast lift. Implant size should be based upon your anatomy. If you are going from a A to a D, these may not look good. But there is not enough info hear to answer properly. 

Thanks and best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Mastopexy vs breast augmentation

You did not include your pictures.  It sounds like you will not need a lift.  You will need an implant with the proper diameter corresponding to your breast diameter.

Talmage Raine MD FACS


Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

D cup and implants only?

Without an exam it is impossible to pick out the right implants for you. This is done after an extensive review with my pateints on exam and discussion of their goals.  As for a lift, implants will not give you a lift. If you need a lift I suggest you get one.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast implants and lifts

Hi, your photographs have not uploaded.

In general, grade 1 ptosis is normal (i.e. not really a ptosis) - this matches your description. However, your surgeon must have a reason for suggesting a lift.

I personally feel that no one should undergo surgery unless they are 100% sure of all the details  May I suggest that you discuss all your concerns with your surgeon, and if that does not work out, perhaps get a second opinion?

Anindya Lahiri, FRCS (Plast)
Birmingham Plastic Surgeon
4.8 out of 5 stars 32 reviews

Breast Augmentation with Mild Ptosis

For many patients with mild ptosis (sagging) a nice result can be achieved if an adequate sized implant is utilized.  Though you aren't showing pictures, it sounds like you might be a good candidate for an implant to give you a D cup size and correct the mild ptosis which you have.  For patients that are borderline in terms of needing a breast lift as well as an implant, I often offer a crescent lift, in which only a small half-circle incision along the upper edge of the pigmented areola skin is required.  This is something you might want to discuss with your plastic surgeon if you are concerned about whether the breast implant alone will achieve your desired result.    

Steven L. Ringler, MD, FACS
Grand Rapids Plastic Surgeon
4.9 out of 5 stars 70 reviews

Grade I Ptosis and Breast Implants

     I cannot see any pictures, but if you are grade I ptosis, even breast implants under the muscles can correct that small amount of droop. 

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Implant only with ptosis present

Without pictures, it is difficult to give you an accurate answer.  In general, using implants only to correct true ptosis is not a good solution.  Placing large implants above the muscle will often temporarily improve the problem if there is minimal ptosis.  However, you will develop problems long-term as your already stretched out breast tissue becomes worse with a large implant in place.  The best solution, if there is true ptosis, is usually to perform a lift with placement of implants.  If there is very minimal ptosis, then placement of implants in a partial muscle coverage position (dual plane approach) can give a good result.  Good luck! 

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 75 reviews

Breast Augmentation for Patient with Breast Ptosis?

As you can imagine, without viewing pictures, it is impossible to give you precise advice. Some general thoughts may be helpful to you however.

Patients with breast ptosis should be careful about undergoing breast augmentation surgery only in the hopes that the operation will also achieve breast lifting. Although your concerns about costs and scarring are understandable,   be careful that you undergo the operation that will most likely achieve your long-term goals.

 In my practice, I offer most patients undergoing breast augmentation surgery a dual plane (partially sub muscular) approach for optimal breast implant positioning ( in relation to the position of the breasts on the chest wall).

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Implant in lieu of lift

Without photos it isn't possible to comment meaningfully on your particular situation. However, two thoughts: I fully agree with Dr Edwards as to positioning of the implants under the muscle. The larger the implant, the more likely you are to have sagging which will not be aesthetically pleasing. Second, although many patients focus on the mastopexy scarring, the scars should fade and the correct operation will produce a better result than trying to do things halfway.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

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.