Currently a 32 B/C but would like to be around DD. Lift and implants or just implants? (Photos)

Dear tor_parker,

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

A DD will be too large and heavy for your frame and tissue, but a D would look nice. I would suggest placing the implants behind the muscle. You do not need a lift. Your size selection should do well for you.

Thank you for your photos. From your photos, it appears your right breast nipple position is excellent and you have essentially no ptosis of that breast. Therefore, a simple augmentation of your right side with an appropriate sized implant should give an excellent result. Your left breast nipples is slightly lower and your left breast appears to have a Grade 2 ptosis. I believe the simplest way forward is to do a augmentation only on your left side as well, with an appropriate sized implant so that it matches your right side for volume and allow the augmentation to settle and see if you are happy with your appearance. If you are pleased with your appearance, nothing further needs to be done. If you feel that your left breast is still slightly low it would be possible to do a lift of your left breast under local anesthesia only to help you minimize the cost and it would be a very short recovery.