Can I get by with high profile implants instead of a lift? (photos)

Thank you for your question.  Looking at your photos I would suggest for the best results to do a breast augmentation with a silicone gel implant under the muscle and a breast lift.  This will allow your surgeon to give your perkier breasts and better shaped breasts.  You could just place the implant and wait it out and see how much of a lift you do get by just adding an implant.  My thought is you will get a little lift but still have a bit of a droop to the breasts.  I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you, discuss your options and answer any questions you may have.  Best of luck to you. 

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

An excellent question. The short answer is possibly. Getting a satisfactory result without a lift would depend on what size volume enhancement youd like. If you wanted a relatively small change, you'd need a lift. If you want more volume, you may be satisfied with an implant alone. At times, I'll recommend patients get the augmentation and see how they feel about the nipple and breast position. If theyre happy and it looks good then we're in good shape. If they want better, a lift is always an option as a second stage.Best wishes,Dr. Jan

Thank you for your question. Based on the available pictures you are somewhere between a grade 1 and 2 breast ptosis (scale based on nipple position to the fold). You are in the borderline place where high profile implants will definitely help the deflated appearance but will not single-handedly lift your nipple-areola complex significantly to the "ideal" position considering your long breast height. You may benefit from a combined augmentation with circumareolar mastopexy (scar around the areola) vs. augmentation first and then based on final outcome a circumareolar mastopexy in the future. I hope this helps! Best of luck

Hello, thank you for your question. It seems like you can benefit from a breast lift with implants.  A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation

Thanks for your question. Based on your photos it looks like you would be best served with a combination of breast lift with augmentation.  The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Many techniques exist in breast surgery, and combined lifting with augmentation is especially tricky.  The key is working with an expert, board certified plastic surgeon.

Dear Easygoing9876,
Thank you for your post and photos. Although it's difficult to determine without examining you in-person, it appears that you may benefit most from a breast lift in combination with a breast implant placement.  Placement of implants alone, might not give you a satisfying result. 
As always, I recommend that you consult with a board-certified plastic surgeon and have a thorough discussion of your concerns, goals and desired outcome. Your surgeon will be able to provide more accurate advice to help you achieve the look you want. It might also be of help to choose a provider who offers 3D animation software, so you can virtually see how you may look like after surgery, with an augmentation only, and an augmentation with a lift. 
Best of luck to you!

Your nipples are located below your breast fold, so a lift would be recommended. Without a lift, your implants would sit unnaturally low on your chest and you’ll most likely be dissatisfied with your results.

Your photos suggest that a lift would be of benefit to position the nipple and areolar complex over the center of the breast mound. A high profile implant alone would not be enough to centralize the nipple. While you can proceed with an augmentation alone, you would be accepting that the nipple would be lower than ideal. That is not to say that the scars associated with a mastopexy are perfect either. One has to decide which of the two is more favorable. In my experience, most patients in your situation are more satisfied with an aug/lift (perkier breast with breast lift scars) than with an aug alone (breast droop but less scars), but it is worth exploring both options. 

Hello, in cases when the nipples are lower than the centre of the breasts but not at the very bottom of the breasts, I find it is very important to have a long discussion with my patient to determine their goals and expectations.  Implants alone (even high profile) do not actually lift the nipples although they can add more overall fullness and projection.  Some patients are happy with this appearance while other actually want the nipples in a higher position.  It is important to discuss your goals and tolerance of additional scars associated with breast lift surgery so your surgeon can provide proper advice.