I'm looking to go as large as I can, can I get implants without a lift? (Photos)

Thank you for submitting your question and uploading photos. It appears you have mild ptosis (breast sag) that could still provide for a nice result with breast augmentation alone using a dual place pocket technique. That being said, your nipple position will still be slightly lower than someone without any breast ptosis, If you are ok with that, then absolutely you can get breast implants without a lift. If at some point in the future you find your nipples too low and want a lift, a lift alone could always be performed while leaving the implants in place. Hope this helps. Be sure to consult with a board-certified plastic surgeon.

Thank you for your question and providing photos. I have been in practice for almost 30 years and I do many many revision breast surgeries. I always tell my patients breast implants fill the breasts out, they DO NOT lift the breasts. If you are ok with some sagging I would recommend a dual plane pocket so the lower poles will fill out better. As far as size goes it will depend on your base dimension and the profile of the implant. It appears you may need 2 different sizes due to your breast volume asymmetry. I would recommend consulting with a BC PS who can go over all of these issues with you. I hope this helps

Hello ! It depends what your post operative expectations are. Going with large implants could fill your breasts out and give you the upper pole fullness that you have lost. However sometimes going with the largest implants sometimes will pull the breasts down and cause more sagging, potentially even quicker which would cause you to need a breast lift sooner rather than later. Good luck with you journey

Without a lift, your breasts may still sag over the implants and will remain low.

That being said, many patients present similarly and avoid a lift with larger implants above the muscle or dual plane. They will still appear low but improved. If necessary in the future, a lift could be performed later on.

An exam and consultation with a plastic surgeon is recommended to further discuss your best options and expectations.

Going larger is absolutely possible when it’s done safely and tailored to your body’s proportions.
The key is matching implant size and projection to your tissue quality, chest width, and skin elasticity. This ensures your breasts stay soft, balanced, and beautifully shaped, even with added volume. Since you don’t mind a future lift, you have flexibility to enjoy your desired size now and fine-tune later if your skin relaxes over time.
With thoughtful planning and artistic precision, it’s entirely possible to achieve a full, feminine look that feels natural, confident, and completely your own.
Dr. Sibel Atalay, MDBoard-Certified Plastic Surgeon & Destination Doctor

I understand you’d like to go as large as possible and prefer to avoid a lift if possible. In some cases, it’s reasonable to start with an augmentation only to see how the breasts settle and whether you’re satisfied with the results.

After about 6 months, once swelling has resolved and the implants have fully settled, you can then decide if a lift (mastopexy) is needed to further improve nipple position or address any residual sagging.

It’s important to note that while larger implants can provide more volume, they may not correct pre-existing laxity and can sometimes make sagging more noticeable over time. We’ll assess your tissue quality and breast position to help determine the best approach for your goals during consultation.

Based off your photos - you have asymmetry (which is normal) and ptosis (drooping of the breast and the nipple is below your breast fold) which means a lift (mastopexy) is needed with an implant to redrape the breast tissue over the implant properly and potentially create a little more symmetry. The lift likely would be the lollipop incision vs the anchor incision (even with much larger implants). Seek out a few surgeons with different opinions and then decide which you match best with prior to making a decision.

Thank you for your question about breast augmentation.
An in-person consultation with implant sizing is best. Whether you can get large implants without a lift depends on your current breast shape, skin quality, and the size you’re aiming for. Implant sizes are chosen depending on height, weight and breast base width diameter.
To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breast implant surgery or related procedure(s).

I hope this helps.

Please provide better pictures front and side. It appears one breast is bigger? My estimate is that you will need different size implants and may be in the 500cc range of moderate profile or High profile depending on the look you like. Please see several plastic surgeons for consultation. Good Luck!

Hello and thank you for your question,

Your photos show some degree of ptosis (breast sagging), which is perfectly normal. However, when placing an implant, the implant would typically sit higher on the chest. If there is breast tissue that sits lower than this, it will create a "waterfall" deformity, where it looks like the breast tissue is not centered on the implant. Usually, with the amount of ptosis present in the pictures, I would typically advise patients on including a lift along with the augmentation for best results. In your case, I would advise an in-person consultation with a board certified plastic surgeon to perform an in person exam and counsel you on your options. Thank you and good luck on your journey!

Hi there! Thank you for your question. If you're aiming to go large and don’t mind some sagging, it's possible to get implants without a lift. Sagging may appear as drooping of the breast tissue off the implant, many find quite unaesthetic. Also keep in mind that larger implants can increase sagging over time.