I am 46 years old and am a C cup, but they aren't full, and are sagging. I was wondering if it is possible to get a lift, but to somehow make them fuller, or will the lift itself give them a fuller appearance? I have the impression that if I got a lift I would lose at least a half or maybe even a full cup size. Is there such a thing as a half implant?
Possible to Get Full Breasts with Just a Lift?
Doctor Answers 18
Breast lifts and" fullness"
A breast lift is nothing more than a redistribution of existing breast tissue into a higher and more projecting mound. After the breast is lifted the skin "brassire" is taken in to accomodate the new breast mound. The size cup usually doesn't change.
Full breasts with a lift and no implants
If patients have enough breast tissue,kwe prefer to perform a lift and not place implants. There is no maintenance on a lifted breast, while implants require periodic replacement in most patients.
Breast lifts typically yield natural appearing breasts. Some patients are seeking breasts with a very full upper pole. In those cases, implants may be necessary.
If there is any doubt, performing the lift first and seeing if the patient even requires an implant in the long run is another option.
Full Breasts with Breast Lifting Only?
Thank you for the question and pictures.
Based on your description and picture, I doubt that you will be happy with the “fullness” of your breasts without using breast implants. In person consultation with a well experienced board-certified plastic surgeon will be very helpful. In my practice, I prefer the use of “goal pictures” that help communicate patient's goals as precisely as possible.
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Possible to get breast fullness with just a breast lift
The technique used to get fullness with a breast lift is, repositioning the lateral breast tissue to the upper central pole,(Auto Augmentation)
This procedure can be done with a a circumareolar incision or a circum-vertival incision
Incorporating the vertical incision will give more projection
A small implant can be incorporated at the same surgery,however if the implant is too small and the breast tissue thin ,the discrepancy between the base diameter (ie the width of the breast) and the width of the implant may be visable
Breast lift and fuller
A lift can be done for you, but if you want more volume, then you need an implant. Your breasts can be "perkier" just by molding your own breast tissue.
Breast Lifts and Fulness in the Upper Pole
I do agree with my colleagues that a well done Hall-Findlay breast lift gives more breast fulness and is generally longer lasting than older, more traditional techniques for breast lifting, which rely more on the skin to retain the breast shape.
On the other hand, it is important to understand that even with these techniques, and even when executed with skill, you will not achieve as much fulness as you would with an implant.
So, if what you desire is the round, firm upper pole often seen in women with breast implants, be sure to explain this to your surgeon.
Breast lift for full breasts
You have numerous options. I like to do the least surgery with the fewest scars and best results. But the patient needs to accept that the breasts will not be perfect but much better. I would recommend a peri-areolar uplift and an implant.
You can get full perky breasts just with a breast lift without breast implants.
1) It matters a great deal how a breast lift is done. A vertical, internal breast lift (Lejour or Hall-Findlay techniques) lifts and shapes the breasts from the inside and gets good LONG TERM shape. Lollipop scars.
2) Other techniques lift the breast by tightening the skin, but skin stretches, and breasts sag again.
3) Breast lift does not make breasts smaller. Only a little skin is removed.
4) From your picture, you don't need breast implants.
Breast volume after Breast Lift
The question to ask yourself is, are you happy with the size and fullness of your breasts in a non-padded bra. If the answer is yes, then all you need is a breast lift. This removes only a small amount of skin and does not change the size of the breasts, only sits them up and fills the superior pole. If the answer is no, then you also need a small augmentation (implant) to achieve the size and fullness you desire.
Breast volume will not change with a breast lift alone
Unless breast tissue is removed, a breast lift will not reduce cup size, and in some as the tissue is shaped with the lift the apparent cup size may appear larger. The breast lift will recruit breast tissue from a flatter or elongated breast much as a bra will and gather all the tissue into a firmer form. There is no need to consider an implant unless you would be comfortable with a larger cup size than you already have or wish to have the accentuated upper fill in the breast that only an implant will provide. There is no 'half implant' though the implant selected need only be large enough to give the fill or cleavage that you are looking for both in and out of a bra.
Best of luck,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.