Will I need a lift with my breast augmentation? Is a BodyTite lift possible if needed? (Photos)

Question

Wanting to have breast augmentation. Wondering if I will need a lift? Also would I be a canadite for the bodytite lift if a lift is needed Thank you.

Gregory A. Buford, MD, FACS · Answer

From the photos your provided, it does not appear that you will need a formal Breast Lift.  And in my experience, the "BodyTite Breast Lift" is more of a marketing gimmick than a realistic approach.

I would suggest a highly cohesive full profile implant placed in a dual plan approach to allow the nipple position to slightly uplight.

I hope this helps and wish you the very best in your surgical journey!

Ira H. Rex III, MD · Answer

From your photographs it seems like a traditional lollip or T pattern breast lift would serve you best with a more dramatic, lasting result.  A donut mastopexy or skin tightening lift may leave you disappointed.

Wayne I. Yamahata, MD · Answer

Implants provide volume but very little lift. With implants alone the small amount of sagging that you have will largely remain. As the sagging is mild, most patient, given the option, would choose to defer the lift rather than undergoing the extra surgery, costs, scarring and risks of a lift. Seek a consult with a board-certified plastic surgeon who can provide realistic outcomes for you with and without the lift.

Robert M. Lowen, MD · Answer

Dear Dallas,
   It does not appear that you will need a lift.  When the nipple is at or above the fold, the implant will push the areola out or up.  If the nipple is below the fold, the breast will look top heavy with too much skin above the nipple and too little below.  In your case, it  appears that the nipple is at or above the fold. Some women request more "perkiness" indicating a desire for a more elevated upward angle of the nipple.  In such borderline cases, usually a periareolar lift is done, minimizing the scar to just around the areola.

Semih Yildiz, MD, FEBOPRAS · Answer

In my experience, this is a borderline breast augmentation decision, but the lift question is mainly about nipple position, lower-pole skin, lower fold position and how much shape control you want. Your photos suggest some natural droop and loose lower breast skin and higher fold; an implant alone may add volume, but it may not reliably raise the nipple or tighten the breast envelope.
BodyTite can sometimes help mild skin laxity in selected areas, but it is not a substitute for a true breast lift when the nipple or areola needs repositioning. I would make this decision with measurements in person, including nipple-to-fold position and skin quality.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Do I need a breast lift? You might not need one. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Sean Hill, MD · Answer

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon – Lone Star Plastic Surgery (Frisco, TX):
Thank you for sharing your photos and your question. Based on what I can see, you appear to have:
* Good overall nipple position* Mild skin laxity/deflation* Loss of some upper pole fullness, but not significant true ptosis
That’s actually a very favorable situation.
⸻

Gary M. Horndeski, MD · Answer

BodyTite will not be effective. You have small areolas and they are asymmetrical in size. You would benefit from a circumareola approach that can enlarge the areolas and make them more symmetrical. Implants can be placed at the same time.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Frank Agullo, MD · Answer

If your nipple sits at or below your inframammary fold, an implant alone leaves the nipple pointing down and the upper breast looking weirdly stretched. In your case, the nipple areola complex is low, but above the inframammary fold. You could get away with a breast augmentation and BodyTite, although a doughnut lift might look even perkier. Either way, expect a natural droop to the breast with improved cleavage and upper pole fullness.

#StayBeautiful,

@RealDrWorldWide

#StayBeautiful,

@RealDrWorldWide

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. An implant will add weight to your breasts.  If your nipple/areola are below the level of the fold underneath your breast, the additional weight may increase that slightly so a lift may be in your best interest to give you better breast position in addition to an enhancement to your breasts.  During your consultation measurements of your breast dimensions will be done to determine what implant best fits you and will be key to helping you understand if a lift would benefit you and whether you would accept additional incision lines for a better breast position.    I am not aware that Bodytite can effect that level of lift.  Best wishes.

Will I need a lift with my breast augmentation? Is a BodyTite lift possible if needed? (Photos)

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