Do I Need a Lift or Augmentation? (photo)

I'm 26 years old, weigh around 155, 5'4" tall. (Measurements: 38-29-42) I've breastfeed two babies and lost alot of weight around 30 lbs thus far. I'm wondering if I should do a lift or augmentation or a combination of both? I have to wear a push up bra to make my breasts look presentable. I'm only 26 and feel like I have the breasts of a woman much much older. I'd love NOT to have the scars from a lift but I'm afraid of how an implant would feel. Recommendations please?

Doctor Answers 17

If Your Nipples Point Down, A lift is needed to be perky

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A lift is needed as your nipples are below your crease. You should do well with a minimal scar "lollipop" incision breast lift. An inverted T or Anchor type is also possible but will leave you with much more scarring.

Regarding choosing the best size -It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below

Do I need a lift or augmentation?

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Thank you for your question! It is normal for the breast to lose its firmness and perkiness over time, which is accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity. This ultimately results in ptosis, or sagging, of the breast with a “deflated” appearance. Women often seek the mastopexy, or breast lift, procedure to regain the previous youthful appearance of her breasts and desire that uplifted and perky appearance of her breasts. Women report increased confidence, self-esteem, and femininity once she achieves this desired shape and fullness. Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage. The implant itself will add these things - given your desires and happiness with your breast size, a breast lift alone is a reasonable decision.

The decision for a breast lift will be up to you...depending on how much you are bothered about the shape as well as your concerns.  If you are currently content with your size, a lift by itself would be reasonable - otherwise, consider adding an implant.  Consult with a board certified plastic surgeon well-versed in breast surgery and s/he will assist you in deciding if a mastopexy will be the right decision for you. Thank you for your question! Hope that this helps. Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast lift versus implant

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Based on your photos you would require a full mastopexy( lift)...implants would only accentuate your drooping ptotic breasts.  With a rearrangement of your breast tissue, you can achieve greater symmetry and perky position of your breasts. Consult with a board certified plastic surgeon near you. Best of luck!

Terrence Higgins, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 9 reviews

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Lift for sure, implant maybe

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Thanks for your pic and ? Your case is tricky but I think you will benefit most from a lift and small implant if your desire is to be slightly larger and have more fullness at the top. Because of the asymmetry regarding the volume of each breast and the nipple position preoperatively it will be hard to completely correct. I don't agree with using saline implants. Silicone looks much more natural. Sizers can be used intraoperatively to help judge the appropriate size. You will need different size implants. Finally, you will have to accept the scars that come with a lift, but in the end it will give you the best overall result. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 93 reviews

Lift or augmentation

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 you   really a   breast    lift ,    to   change  the   position    of   your  nipple and   to  reshape the tissue  of  your  breast ,    the augmentation    would    be  great   but  this  will  depend if  you  are  looking  for  fullness   of  the  breaast ( bigger  breast  ) if  you   want the  fullness      in upper    poles   of  breast    the   best     way   is  to have  the  combination   of  both  procedures 

Cynthia Disla, MD
Dominican Republic Plastic Surgeon

Breast lift only or with augmentation?

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Thank you for your question and photo.

You have plenty of breast tissue to achieve upper pole fullness with the Ultimate Breast Lift technique. The UBL technique reshapes, lifts and anchors your breasts to achieve natural and youthful results that are long term. Implants do not lift breasts. In your case, implants will only make matters worse by stretching your tissues even more and eventually making a lift more difficult. What makes the UBL technique unique, is that a vertical scar is never needed despite size or degree of ptosis. Incisions are hidden around the areola and in the inframammary fold.

Hope this helps.

Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Lift or implant alone

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You require a lift to reposition the breast mound in the appropriate position on your chest wall.  An implant can then add volume, and upper pole fullness

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 9 reviews

A breast lift is needed in severe ptosis

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and your photos suggests advanced ptosis for someone of your age.  Depending on your desires, you could have a lift alone, a lift with implants, a reduction with implants, or a rubin mastopexy.  You WILL have the scars from a breast lift and can only hope they will heal well and be inconspicuous over the years.  Please find a board certified plastic surgeon in your community to discuss your concerns and desires with in more detail.  Good luck at achieving your goals!

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Lift and Augmentation- NO DOUBT

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It is fairly straight forward.  You will need a lift and augmentation.  I would recommend saline implants to allow for adjustments and differential size.

Dr. ES

Do I Need a #BreastLift or #Augmentation? (photo) ANS:

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No doubt, you need a lift!!! The question is whether you want it with an implant or not and my advice would be to use an implant. It will give you more fullness in the upper part of your breast and give you better roundness as well...But lift for sure..You cannot do an implant alone...

John J. Corey, MD
Phoenix Plastic Surgeon
4.7 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.