Will Implants Be Enough to Lift and Fill out my Breasts?

Implants increase cup size, they do not treat sagging. This is a common misconception that many people have. Yes they can fill out and temporarily perk up a sagging breast, but the implant falls to the lower pole of the breast. You therefore have aggravation of sagging as time passes, and a larger, saggier version of yourself. You need a lift, and there is the trade off of scarring. There is no other way, or we would be doing it that way. Just because you are African American does not mean you will have bad scars. Everyone heals differently, and I have performed this operation on individuals of all ethnicities with excellent scar quality. 

Although no conclusive recommendation can be made based on pictures alone, from what I see I would strongly recommend that you consider a breast lift.  It does add scars to your breasts but in my opinion a lollipop scar is better than a ball in a sock look you would get if you get an augmentation alone.

It is difficult to say whether you would require a breast lift as well without a physical examination, however it may help if ptosis is severe.  In some cases, breast augmentation alone can make the breast "perkier” without a breast lift.  Scarring can be reduced by following your surgeon's post-surgery care instructions and keeping the scars out of the sun. Sun exposure can cause permanent darkening. You can also consider topical scar treatments once the steristrips have fallen off. Talk to your surgeon about silicone gel and silicone sheeting. Best of luck!

Unfortunately the implants will not lift your breasts, if you have scars from other surgery or trauma that have not had keloids I would not be worried about excessive scarring

You will obtain the best result with a vertical (or 'lollipop') breast lift, as well as implants to fill out the upper breasts.

I can certainly understand you concern about the scars. However, patients generally are very pleased with the improvements in size and shape as well as the decrease in the areolas. The scars somehow seem much less bothersome when the breasts are more beautiful.

In my opinion, implants would not provide you with sufficent lift and could resutl in the appearance of a larger more "saggy" breast

hi there-

You clearly need a breast lift. Implants will not give you a pleasing outcome, or a lasting one at that.

Breast lift scars do NOT need to be ugly... Please see this photo:

Currently the vast majority of your breasts lie below the level of the inframmary crease (skin fold under the breast). If you place breast implants without any other breast surgery you will make this worse. If the implants are placed above the muscle they could fall into the hanging skin envelope and make this breast sagging worse. If they are placed under the muscle they will be separate from the hanging breast tissue and you will effectively have 2 breasts on each side or 4 total. Unfortunately breast lifts come with skin scars and there is no way around that.

Thank you for sharing your photos.   I do recommend a lift with your breast augmentation. In terms of scarring, I would recommend silicone therapy immediately postop and start aggressive scar massage at 4 weeks.  Here are my criteria: 

Candidates for a Breast Lift (Primary Breast Shape Concern):

1.  Patient is happy with breast size in a bra, but desires improvement in shape.

2.  Nipple position sits at or below the level of the breast crease (inframammary fold)

3.  Significant amount of loose skin and breast tissue, which hangs over the crease leading to a hollow appearance in the upper pole of the breast.

Candidates for Breast Augmentation (Primary Breast Size Concern):

1.  Patient is happy with nipple position and amount of skin in relation to crease.

2.  Desires increase in volume of breast to increase bra cup size and provide more cleavage and fullness to upper and lower pole of breast.

In many cases, patients have concerns of both size and shape, therefore requiring a breast augmentation with a breast lift to achieve desired results.  I hope this helps.

Dr. Gill

Implants in general do not lift the breasts too much, and in your case you will also need a breast lift.