Can I avoid a Breast Lift? I do not want the scarring (Photo)

Question

I want to make clear I don’t mind where my breasts or nipples sit. I specifically do not like the large gap where my ‘cleavage’ is. I’m 26, no children, but look deflated as all my tissue sits at the bottom/outer sides. I want to have fuller cleavage, but I do not like the high/fake/round look. I’m looking for advice on if I NEED a mastopexy as well. I really do not want the scarring that would come with an anchor lift! The last photo is edited to what I want, no position change.

Carlos Mata, MD, MBA, FACS · Answer

"Thank you for providing details about your concerns. Based on your description and the pictures you mentioned, if your primary concern is enhancing the fullness of your cleavage without altering the position of your breasts or nipples, you might achieve your desired results with implants alone. It sounds like you don't necessarily need a mastopexy (breast lift) if you're content with your current breast and nipple positioning. However, always consult with a board-certified plastic surgeon who can examine you in person and provide recommendations tailored to your specific anatomy and goals.

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Brian K. Reedy, MD · Answer

Thanks for your question! While the choice is always yours, I think that you will be disappointed without a lift. Your cleavage will not get much tighter with an implant. Your breasts will simply look larger. I would suggest an in-person consultation with a board-certified plastic surgeon. Good luck!

Gary M. Horndeski, MD · Answer

Many women do not like breast lift because of the vertical scars associated with the traditional techniques. An alternative was developed called 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear mullido,
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. Based on your photos, it looks like you would benefit from breast lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, if interested. 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. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Ugur Horoz, MD · Answer

hello, seems you need to have the procedure breast up lift, related to your expectation may be planned with or without implant.

best regards

Camille Cash, MD · Answer

An in person evaluation is best but from the photos alone it appears you will have the best outcome from a lift with implants.  I encourage you to visit with a board certified plastic surgeon near you to learn more about your options.  I've included a video I hope you find helpful.

Connie Hiers, MD, FACS · Answer

You need a lift, but could do well with the vertical lift and avoid the long underneath scar. With no lift, you will just have larger and still sagging breasts and the gap will not change.  You would do best with a lift and placing the implants behind the muscle for better upper breast fullness and avoiding seeing the implant edge and have the round ball look.

Richard P. Rand, MD, FACS (retired) · Answer

When people need lifts such as you do, but they want implants and are trying to avoid the lift scars it is perfectly reasonable to put the implants in and let them heal and see if you’re happy. If you’re not happy, you can do the lift later, and many would argue It is safer that way anyway.

Can I avoid a Breast Lift? I do not want the scarring (Photo)

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