Can I get away with implants, but not a lift?

Based on your picture, it appears that implants alone will be ok.  A lift will reposition the breast tissue higher and center the nipple/areola on the implant.  If you just do the implants, it is always possible to do the lift at a later date if you change your mind.Good Luck

Based on your photo, it does not appear that you will need a lift. The most natural result can be achieved by using a submuscularly placed anatomically shaped silicone implant. I would also perform slightly different techniques from one side to the other to correct the slight asymmetry between your nipples. Best wishes,Dr Jan

Thank you for the question and photo. You appear from the limited exposure of the photo to be okay with the implants only without the lift. A moderate plus style implant will most likely give you natural looking breasts. Good luck with your surgery!Dr. Khuthaila 

I agree with your goals and surgeon's recommendations that a lift is not a must. Implants alone don't lift but they often give a satisfactory illusion of a lift. After 9 months when the breasts have settled, if you feel they aren't perky enough, you could always get a lift at that time. Hope this is reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

O agree, there is no need for a lift.I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a board-certified Plastic Surgeon certified by the American Board of Plastic Surgery.


Best wishes!


Dr. Desai
Harvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Starting with implants alone is a reasonable decision. The pocket must be made precisely and postop compression is necessary. Always wear a brasiere afterwards. A lift can be performed later if you are not content.

You appear borderline- adding a lift also adds scars as a trade off which must be considered. Implants will give more upper fill, but your breasts may remain low, which you say you're ok with. A lift can always be performed later, if desired.

Hello and thank you for your question. You are a great candidate for a breast
augmentation.  I do not think you need a lift.  Using a dual plane technique, you will have a nice result.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello dear, thanks for your question and provided information as well..

The breasts may lose their elasticity and firmness which can be caused by different factors such as pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts and restore the natural look your surgeon can perform a mastopexy or breast lift. A breast lift restores a firmer, perkier, and more aesthetically pleasing shape to sagging breasts. This not only can improve a patient’s appearance by restoring her youthful, feminine proportions, but  also help bras and swimsuits fit more comfortably and attractively. By removing excess, stretched out skin, reshaping the breast tissue, and raising the nipple & areola into a more forward position, a cosmetic surgeon can create a more youthful breast contour. Stretched, large areolae can also be reduced during breast lift surgery, creating an overall better proportioned, natural looking breast, Actually the perkiness on a person or another, depends on patients skin and breast tissue… Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

Thanks for your question. Based on your limited photo, you do appear to be a good candidate for breast augmentation without a lift. Like you, many women would do better with a lift but refuse. This is ok assuming that you and your surgeon have a long discussion discussing expectations and limits of the surgery. He or she should discuss what your upper poles will be like, how your tissue will feel, your asymmetry and your likelihood of needing another surgery. I hope this was helpful and I wish you all the best.