What grade of ptosis do I have? Do I need a lift or could I achieve good results with just implants? (Photo)

Thanks for your question! Your one breast is a bit droopier than the other. I'm not sure that I would recommend a lift out the gate, but I would need to see you in person to give you an exact answer. I would encourage you to seek out an in-person opinion prior to moving forward with a surgery you aren't confident about. Good luck!

Your breasts are low on the chest wall. 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello, thank you for your question. That is excellent that you lost the weight. It is difficult to say what grade just based on photos. It depends on a number of things such as what profile you choose, above or below the muscle, what your wish pics are like and what you hope to achieve. An implant adds more volume it doesn't lift your natural breast tissue. Speak to your plastic surgeon and bring in wish pics and no pics so you can sit discuss what is doable. Feel free to check out our website for more pics.

Dear amc122,
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

Thank you for your questions regarding having a breast augmentation with or without a lift.

Ultimately, this should be your decision. Your surgeon should give you clear and realistic expectations about what a breast augmentation without a lift would look like for you personally.

Your surgeon should take measurements of your breasts and will be able to show you if a lift is needed or not.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

Hello!
Looking at the profile views, your nipple is at the level of your crease. This is "pseudoptosis," not actual ptosis. If you choose a fuller profile implant, you may not need a lift at all. You should be sized to check on implant choices and likely outcomes. You can always have some kind of lift as a second stage if you end up needing it.
Best of luck to you!

Based on your photographs, you do have asymmetry in the nipple position and amount of sagging of the breasts. The right breast has more sagging, so the nipple is lower and the breast hangs more over the tummy. It is hard to completely tell from your photographs, but you do not appear to have significant ptosis, where the nipple is at or below the lower fold of the breast. The right nipple is just lower than the left. Your goals are achievable without a lift, but there would still be asymmetry in the nipple position. As convenient as virtual consultations are, you do need a thorough examination of the breasts to determine the proper surgical plan. I am sure you will get more answers during your pre-operative visit. Good luck.

Based on the photographs you have grade 1 ptosis. The means that your nipples lie at approximately the level of your inframammary fold. I think you will be a candidate for an implant alone.

Congratulations on your weight loss!
Based on your photos, you would benefit from a breast lift in addition to implants. If you have a breast augmentation only and your goal is to achieve upper pole fullness, it appears that your natural breast tissue will still sag.

Best of luck!