I’m 32 and breastfed my baby. I want more volume. Do I need breast lift? (photo)

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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hi, thank you for this question and for supplying a photograph. I believe you can have a breast augmentation without a lift. An augmentation will increase your breast size and provide more superior fullness without requiring the scars associated with a breast lift. I would point out that your left areola is slightly larger and lower than the right. So long as you are ok with this mild asymmetry I think a breast augmentation would be a great procedure to help you achieve your aesthetic breast goals! Placing a breast implant will correct some of the ptosis or drop of the left nipple and can be done in such a way that will help improve this asymmetry.
If any nipple asymmetry is not ok than you likely would need an augmentation with a vertical lift of the left breast.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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 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