Standard BA or uplift too? (Photo)

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
With regards to your specific question, your nipple position is preserved and a lift seems unnecessary. You would likely get a very nice result from an augmentation alone.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

Hi - good question. The factors to consider here are the relationship between the level of the nipple and the fold beneath your breast, and your implant choice (based on the outcome that you wish to achieve). In your case, the nipple areola complex is above the level of the inframammary fold, so it is unlikely that you would require a lift in addition to an implant. Selecting the right implant for your breast dimensions will be important - some 3D simulation may help you to make this choice.

Dear Energetic361465,
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

I believe that you are a proper candidate for implants alone. The distance that truly matters is the vertical excess. That is determined by the excess skin with the nipple to fold distance held on skin stretch.

The droopiness of the nipples is not judged by the distance form the collar bone. It is relevant to the position of the inframammary fold. Yours are not droopy and you don't need a lift.

I don’t look that you need a lift, you need implants to fill up the breast, but your nipple it’s in the center of your breast

Thanks for your question!
You should be able to have just implants placed. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Hi there
Based off those photos, I would recommend a standard BA only. The lift is needed to correct any sag in the breast (which you do not have) and center the nipple over the implant.
You do however, have a wider cleavage gap, be sure to pick an implant to fill out your chest wall fully. this will insure you get your cleavage closer to the midline

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

I would think you would NOT need a lift and an appropriately sized implant will suffice. One can always do a lift in a delayed fashion if desired (vertical mastopexy). Thank you.