Is a lift on the right breast necessary? (Photo)

Based on your photo, the right areola is positioned lower than the left, and the right breast also shows more laxity. Since breast implants are typically centered under the areola, the right implant would likely sit lower due to the areola’s position and the looser breast pocket. You have two options: 1. You could opt for augmentation alone and, once healed, decide if a periareolar lift on the right side would be worth considering. 2. You could have the periareolar lift on the right side at the same time as the augmentation for a more balanced result from the start.

Dr. B.

Dear kitkat107,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based on the submitted photo there is some asymmetry noted. If you proceed with augmentation alone you will have the same amount of asymmetry after surgery. If that is not bothersome to you that is fine. If you would like it improved then a lift could be performed along with the augmentation.