Do I need a Breast Lift or can I just get implants to achieve the look I'm going for?

Thank you for sharing your question and photographs. Yes I do think you can approximate your wish pictures with an augmentation alone. Hope this helps.

Hello @Jmgxx thank you for your question and showing your pictures. Without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Hi, thank you for sharing your question. You are a great candidate for breast augmentation and do not need a lift. You will have a fantastic result.

It depends on the placement of your nipples in relation to your breast fold. If you nipples are located below your breast fold, then a lift and augmentation would be recommended. This is because your wish pic shows significantly rounded breasts that sit relatively higher up on the chest.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

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 then get to choose what looks right for them. 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

Thanks for the question. This is a very common presentation in my clinic where patients are not sure whether they only implants or implants with uplift. After measurements of breast base and nipple position, i discuss what results can be achieved by only implants and with implants and uplift. In some cases desired results can be achieved by sing higher profile implants. Please book a consultation with a plastic surgery Consultant to discuss your case. From the pictures provided you can get good results by choosing a higher profile implants

Based on these photos you do not need breast lift; augmentation with implants would be quite sufficient. In person consultation with a board certified plastic surgeon, expert in breast surgery, to decide about size (implant volume) is recommended. Good luck.

Dear Jmgxx,
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

Good evening,
You are an excellent candidate for a submuscular augmentation with saline or silicone implants, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office. You do not need a lift- yay!