Do I Have to Have Implants when Getting a MM?

I am strongly considering a MM, but do not want implants. Is it possible to have my breasts lifted w/o them?

Doctor Answers 32

Mommy Makeover Without Breast Augmentation

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The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting. The right combination of areas to be addressed will be discussed during your consultation. It is also very possible to customize the procedure according your personal needs and objectives. 

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Mommy Makeover Surgery - Tailored to the Patient's Needs

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The greatest part of mommy makeover surgery is that it is tailored to the patient’s needs. Some mothers only need breast surgery and a tummy tuck, while others have liposuction, tummy tuck and breast surgery. With that said, breast implants are not a requirement of mommy makeover. It should be possible for your surgeon to lift your breasts during mommy makeover surgery without breast implants. Schedule a consultation with a board certified plastic surgeon to discuss your plastic surgery desires.

Breast Lift without Implants is Definitely Possible in a Mommy Makeover

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Hi there-

The short answer to your question is that you can absolutely have a breast lift without implants in a Mommy Makeover.

The longer answer would be that it is very important to carefully consider your goals when deciding on the plan with your surgeon, as the outcome will, of course be very different.

As long as you choose your surgeon carefully and for all of the right reasons, you should be able to be confident that he will advise you well.

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Implants are not required in mommy makeover procedures

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It all depends on what your goals are and what you have to start with.  
If you are happy with your volume but your primary concern is sagging, then a breast lift without implants can do the trick.  However, if you are also concerned about volume loss, then a lift can only do so much.  Please visit with a board certified PS in your area to learn more about your options.

Dr. Basu

Houston, TX

Any breasts can be lifted, but the scars can be a tradeoff.

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If a breast has a little bit of droop a breast implant can restore some of the volume that was taken away after childbearing and give some elevation to the skin.  While breast augmentation is certainly one of the mainstays of the mommy makeover not everyone wants or needs an implant.

A breast can be elevated with breast lift techniques.  Crescent lift, peri areolar and full breast lift are options, it just depends on how much laxity you have.

Many patients are concerned about the scars that can be left with breast lift.  For a patient with very droopy breasts the scars may be a worthwhile tradeoff.  For someone with a little bit of droop it may not be worth it.

Your plastic surgeon can help you decide which breast lift option makes the most sense for you.  He or she should show you examples of each kind of lift.

One thing I think that is worth mentioning is expectations.  I find that many patients think a breast lift will give the same appearance as a breast implant. The two operations are very different.  While a breast lift can sometimes look implanty initially when the skin is tightened eventually a lifted breast will relax and take a more gentle slope off of the chest wall.

Implanted  breasts give a more dramatic upper bulge, and a longer lasting fullness to the breast.  I like to make sure that my patients understand this distinction.  Because of all the fashion magazines and celebrity photographs that we see I think that many patients are more accustomed to seeing implanted breasts than natural breasts.

Good luck with your decision.  You should never be pushed into anything that you're not comfortable with and should only make a decision for an implant or lift if it makes sense to you.



Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Lift, no implants

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Yes - absolutely, it's possible to have the breast lift done without implants.  It's a matter of personal taste.

Get the implants if:

-  you want to have a larger cup size

-  you want the "implant look", with a lot of upper pole fullness.

Don't get the implants if:

-  you like your current size

-  are worried about possible complications (hardness, leakage, replacement, cost)


All the best!

Do I Have to Have Implants when Getting a MM?

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All surgeries are essentially customized to the person. Whether or not you need a breast implant placed as part of your Mommy Makeover is entirely up to you. The surgeon you choose should be able to tell you what he can do with the tissue you have and whether an implant would be needed in your case to achieve your goals. It is quite common to perform breast lifts without implants.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

There are no mandatory procedures with a mommy makeover

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Thank you for your question. You do not have to have breast implants to have a mommy makeover or to get a breast lift. You only need breast implants if you want to increase the size of your breasts. If you are happy with your  breast size, you do not need implants.

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 40 reviews

Implants with a MM are not required.

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Any portion of  a MM including the implants are the patients choice.  I always ask my patients if they are happy with the volume in their bra.  If the volume is OK  with them then there is no reason to add more and a lift will reshape and lift the breast to its normal position.  This saves the cost of the implants and eliminates any potential problems implants can cause in the future.

Implants or not

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Some surgeons recommend a lift first and an implant later. They can be done at the same time as well. Not having an implant is the patient's choice. A lift can be do without them.

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.