Do I need a lift along with 345cc full profile implants? (Photo)

Hello WARMHEARTED742799 in Dallas,

Thank you for reaching out with your query about the necessity of a breast lift when opting for 345cc full profile implants. Your detailed history and the provided pictures are crucial for an accurate assessment.

Based on what you've shared, it seems likely that some form of breast lift may be required in conjunction with the 345cc full profile breast implants. The existing laxity in your breast skin suggests that the volume provided by the 345cc implants alone might not be sufficient to achieve the desired aesthetic outcome. Therefore, a lift would help in addressing the skin laxity and enhancing the overall look.

If you decide to proceed with the 345cc full profile implants, my recommendation would be to insert them through an incision around the areola, ideally between the 9 o'clock to 12 o'clock and then to the 3 o'clock position. During surgery, it would be essential to evaluate whether a breast lift is necessary once the implants are in place. A possible option could be a crescent lift, involving the removal of skin in the specified areolar region. However, if a more comprehensive lift is needed, a 360-degree peri-areolar, donut, or Benelli mastopexy might be appropriate.

It's worth noting that opting for a slightly larger implant size than 345cc could potentially reduce the extent of the lift required. However, the final decision regarding the lift will be best made intraoperatively, as it allows for a precise assessment of how the implants sit and the extent of any additional lifting needed.

I hope this clarifies your concerns about whether a breast lift will be necessary alongside your chosen 345cc full profile breast implants. Your decision will play a significant role in achieving the look you desire.

Wishing you the best in your journey towards enhancing your appearance.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

I would suggest a lift. I would also suggest selecting a lower profile implant as you do not need a full profile implant. Full profile implants have a very narrow base diameter for how much projection they provide. Most lift patients need a lower profile implant that is "taller" to restore upper pole fill.

Most women prefer for their nipple position to be higher than their inframammary fold of the breast. With that being said, a lift is recommended. You could opt for a benelli lift that only goes around the areola or a traditional mastopexy for even more lift with the lollipop scar. If you would like more information, feel free to reach out to my office, 702-838-2455.

Your nipples appear to be located below your breast fold therefore a lift would most likely be recommended.

You gave Grade I breast ptosis and could do either procedure. With just the augmentation you'd want to do a Dual plane III. You'll be perkier with the lift but will have the extra incisions/scars.

If you do an implant alone, you would need the dual-plane technique. You will get more fulness and roundness, and of course increased size.

You do have a bit of a long breast fold and low nipple position (which would need to be measured on examination) and a lift would correct those issues. If you're willing to accept the lift scar, then lift with a bit smaller implant may be the way to go.

Get a few opinions in person, as lift + implants is a tougher operation to get good results with, and requires a surgeon who has experience in this area.

If you get implants only your breasts simply won’t be right. You do need a lift. However bear in mind that many surgeon will tell you that a lift isn’t needed and convince you that implants alone will suffice. You need to find someone who is a breast lift specialist. If you’re not willing to have a lift you would be best off just leaving them alone

You definitely need a breast 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and photos. Based on these photos, you will need a breast lift with breast augmentation to give you a more youthful result and correct your breast asymmetry. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Yes, you need a lift or you will just have larger and still sagging breasts. Implants alone will not correct the sagging.