I want to get a breast lift for the sagging, but do I need implants as well? (Photo)

Thank you for your questions & photos. From your photos, you are a good candidate for a breast lift. The breast lift will raise and reshape your breast & areola addressing the majority of your goals. You can transfer your own fat to your breast or a breast implant can be placed to achieve fuller rounder breasts. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD
Double Board Certified Plastic Surgeon

Chicago
South Barrington
Oakbrook
Orland Park

A breast lift alone is a great option in women who already gave a lot of volume of their own. In general if you are satisfied with your current size, just require a different shape a breast lift only is a good option for you. A reduction in nipple size is a component of a breast lift.

If you are happy with your size, especially in a bra, then implants are not necessary. Seeing your surgeon's pictures would also be helpful. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Based on these photos, it would be my suggestion to consider breast lift without implants. You appear to have relatively dense breasts which will hold shape and fulness for longer time. However, small reduction, in particular lateral breast tails should be considered to improve overall result and longevity. In person consultation with a board certified plastic surgeon, expert in breast surgery, is recommended. Good luck.

At size 36/38D, you do not need implants but 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.

Best Wishes,

Gary Horndeski, M.D.

Dear Antoinette616,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You should be seen in person and discuss and point out exactly what your concerns are (and have your breasts measured), but based on your photos and description, a lift alone would achieve your goals. Implants are a helpful addition to a lift if you want to be larger or have more breast projection or upper pole fullness.

You have plenty of breast tissue and don't need implants. You can have a lift or even a reduction. A reduction would reduce your breasts down to a more comfortable size.

If you are happy with the volume of your breasts while wearing a bra then I usually do not recommend implant placement in this situation as you already have the volume you want, its just not positioned in the right place. In your case I think a breast lift with repositioning of the breast tissue and nipple with areola reduction should give you the results you desire. I would meet with a plastic surgeon to discuss your options. Hope this helps!

A breast lift will enable you to go braless. With an augment pexy, you have a higher likelihood of repeat sagging. The size loss will be minimal. Best wishes.