Deflated Breasts - Implants Only? Or is a Lift Required?

I do not like the deflated appearance of my breasts. My goal is to restore my formerly fuller bustline with minimal scarring. Taking into account the pale tone of my areola, and that nipple placement per se is not one of my primary concerns, to what extent might scarring left by a peri-areola lift be a worthwhile tradeoff? Also I have not had children, but plan to be a mother and breastfeed in future. Thus any procedure which carries a high risk of jeopardizing this ability is unacceptable.

Doctor Answers 17

No lifting needed

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In my opinion you do not need any kind of breast lifting.  I rarely do a "peri-areolar lift" because the areolas stretch and often do not stay round.  I would definitely place your implants in a subpectoral position.  Depending on what your breasts do during your pregnancy and breast feeding you may need lifts someday, but you can enjoy larger breasts and less scars until then.

San Diego Plastic Surgeon
4.3 out of 5 stars 29 reviews

You can get a great result with augmentation only

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Your nipple does not point downward and you will have a good result with submuscular breast augmentation. Please avoid cirumaerolar lift and find a surgeon that can do augmentation without lift. You will need lift later on and best would be after finishing with pregnancy.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 154 reviews

Breast augmentation, lift, breast feed

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Breast Augmentation without a lift would likely be my choice for you, based on your desires and photos. Implants would give you the desired increase in volume.

You will likely have some additional sag after child bearing and can undergo a lift procedure after you are done with pregnancy and breast feeding. Breast augmentation will not alter your ability to breast feed.

Aysel Sanderson, MD
Kirkland Plastic Surgeon

Breast augmentation with or without a lift

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From the photos that you provided it appears you are a good candidate for a breast augmentation with a high profile implant that can achieve the breast lift as well. 

Best of luck!

Dana Khuthaila, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 77 reviews

Augmentation and lift?

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From your photos it is difficult to say for sure, but if I were to do a lift, it would only be a circumareola to perhaps lift the areola and remove some skin from below. I can't really say without an exam.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

A breast augmentation

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You are a great candidate for breast augmentation - your nipple position is good and an implant will help give you that fuller rounder look with great cleavage and minimal scarring!

Implant or Uplift?

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I would not recommend that you take on the extra scarring and complications associated with an uplift.  You are a great candidate for a breast augmentation.

Breast augmentation

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From your photo especially of you are not concerned about nipple position all you need is an augmentation of volume restoration and toning of the tissues.

Options for deflated breasts.

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Thank you for the excellent photos, they are helpful in formulating my response.  From your photos it does not appear that you have any ptosis of your nipple / areolar, ie your nipple - areolar are at or above the fold under your breast.  If your nipple - areolar are in the correct position, lifting them higher won't improve the appearance of the breast and  can lead to future areolar malposition, ie, the nipple - areolar being too high as the breast settles below it.  Your initial sentence states you are unhappy with the deflated appearance of your breasts so a breast augmentation would likely give you the fuller bustline you desire.  Simply lifting your breasts would not add any additional volume to your breasts.  Future breast feeding can be done after a breast augmentation and the scarring from a breast augmentation is minimal.

Is lift required for deflated breasts?

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The trick to peri-areolar lifts is to place a permanent purse string suture to avoid stretching of the areola with the weight of an implant. Only your PS at the time of surgery will be able to determine for certain if a lift is needed. You have stated that position of your nipple is not a real concern for you, so perhaps subpectoral silicone implants will be enough to meet your intended goals. In my experience, peri-areolar scars are almost invisible with time. Best wishes,

Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

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.