27, breastfed three children. I’m wanting silicone implants. But curious will I need a lift as well? (Photo)

Question

I’m a 27 yr old mother of 3. I’ve Breastfed 3x cause my boobs to slightly grow but then deflate. I’m wanting silicone implants. But curious will I need a lift as well? I’m hoping maybe is I got a larger size implant like 425-450cc with a high profile under the muscle, will that give the illusion of having a breast lift? Please help???!!

Donovan Rosas, MD · Answer

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.
Based upon your photos alone, it is difficult to say with certainty whether a lift will be necessary. You demonstrate some skin laxity and asymmetry but nipple position appears preserved.
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.

Dino Mendez, MD · Answer

Hello - you do have some skin stretch/laxity, but the breasts/nipples are still at a good position. Your nipple is sitting above your breast fold which signifies that with a breast augmentation alone, your breasts will sit at a youthful position. The implant will give the appearance of a small lift, but this will take a full 3 months post op to fully visualize

Camille Cash, MD · Answer

From the photo it appears you have some sagging and some asymmetry.  Depending on your desired look you may be able to have a nice result from implants alone.  I've included a video I hope you find helpful. We'd love to meet with you in our Houston office to discuss your concerns!

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

Hello, and thank you for your clear question. While it would be helpful to have photos from both sides, based on the image you provided, I believe high-profile round implants placed over muscle&mdash;without the need for a lifting procedure&mdash;would give you excellent results. Since you have enough tissue to adequately cover the implants, there’s no need to increase the risk of complications by using large submuscular implants. In my experience, over-the-muscle placement would be the most suitable option for you.

Ira H. Rex lll, MD · Answer

From your photographs, it seems you do not need a breast lift.  Your nipples are at or above the breast fold and this usually indicates there is probably no need for a lift.  I would only be able to know for sure after a direct exam.  Good luck with your adventure.

27, breastfed three children. I’m wanting silicone implants. But curious will I need a lift as well? (Photo)

Answers (10)

Answer: Over-muscle implants without a lift seem ideal in your case

Answer: Over-muscle implants without a lift seem ideal in your case

Answer: Do you need a breast lift?

Answer: Do you need a breast lift?

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27, breastfed three children. I’m wanting silicone implants. But curious will I need a lift as well? (Photo)

Answers (10)

Answer: Over-muscle implants without a lift seem ideal in your case

Answer: Over-muscle implants without a lift seem ideal in your case

Answer: Do you need a breast lift?

Answer: Do you need a breast lift?

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.