Can I get away just implants? Or will lift be necessary? (Photo)

Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. Unfortunately, your anatomy dictates that you definitely need a lift. There is no implant type or shape that we will change that fact. No one comes to me asking for a scar on their breast. The good news is that by performing augmentation and a lift, you can have an excellent result. I believe breast lifting is an art form many plastic surgeons never achieve true mastery. That the vast majority of incisions heal beautifully with minimal scarring. Best wishes to you.

Thanks for your inquiry and excellent pictures. I believe you do need to perform a vertical lift on the right breast and then possibly even use two slightly different implants to help get symmetry. Please seek the consultation of a board certified plastic surgeon and best of luck.

Thank you for your question. Looking at the photos you have provided I would suggest a breast augmentation and lift to be done. This will allow your surgeon to place a silicone gel implant under the muscle and lift your breast back up. We never know how scars are going to heal but most of the time the heal nicely. I would suggest having an in person evaluation with a Board Certified Plastic Surgeon in person. Best of luck to you.

Hello, thank you for your question. Having an asymmetry of breasts is normal. I would speak to your plastic surgeon about their approach to the surgery. Whether breast tissue need to be removed to help with the symmetry. For more information you can check out our website.

Thank you for your question.
Although a breast augmentation will restore the volume of your breasts, you may be unhappy with the aesthetic. A breast lift will allow your breasts to be perkier and more youthful, and moves the nipples up to a more favorable position. I recommend speaking with your plastic surgeon to discuss your options.

Your photos appear to have breast below your fold (touching your upper abdomen). To get the breast off would require a lift. To make them symmetrical, breast tissue can be removed from the right breast during the lift. An implant can be used during this procedure as well, depending on the look you would like, but not necessary. Best is to have a consultation and take measurements.

Thank you for your question, and based on your photographs, I'm not sure an implant would help your situation. They just might provide larger and heavier more ptotic breasts. A breast lift would help with breast shape but as you mention scars are a real consideration. I would recommend you see a board certified plastic surgeon experienced in breast surgery to review the pros and cons of each. Good luck.

You can do the pen test, you put a pen under the breast fold, if the pen stay there you have your breast down and you need a lift, if the pen goes down you don’t need a lift

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA