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.

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