Can I achieve more upper fullness and cleavage without implants? Would I be a good candidate for a Breast Lift?

Question

I'm 26 no kids, and I would like to get a breast lift. I would like more upper fullness and a some sort of cleavage. Could I achieve this with no implant ? Also would it be best to lose weight before having a breast lift ?

Gary M. Horndeski, MD · Answer

The technique I recommend is a lift using 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. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Sam Speron, MD, FACS · Answer

Hello and thank you for your questions and pictures! If you are looking to enlarge and lift the breasts, there are many treatment options. The breast lift/mastopexy addresses the sagginess of the breast by removing excess skin and the breast augmentation/ breast implants will add volume to the breast. It would be helpful to see before and after pictures from real patients to see if surgery is something you would be interested in.  Although upper pole fullness is attainable, a lift with implants would be optimal in this situation.  Moreover, I would suggest that you lose weight prior to your surgery for the best results!  Good luck on your journey!

I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in breast augmentation & lifting surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.  I hope this helps and wish you all the best in your journey. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Irena Karanetz, MD · Answer

Hello and thank you for your question. 
If you are wanting to lose any weight, I would try to do so before the surgery only because this can change the results of your surgery. 
Based on the pictures you provided, you appear to be a good candidate for a full mastopexy (breast lift) which will put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful, firmer and lifted breast appearance. 
Some people are a little apprehensive to the full breast lift due to the scars (lollipop or anchor), but typically they do very well and scars fade over time. 
You appear to have sufficient amount of breast tissue and adding the breast implants should not be needed in your situation to create a fuller and more lifted cleavage.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Lift surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
I hope this helps.Good luck!
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Donald R. Revis Jr, MD · Answer

Good afternoon,
Yes a lift can achieve more cleavage and upper pole fullness in the absence of implants, but both would be better WITH implants.

Stefan Mark Szczerba, MD · Answer

Hi,

The answer is yes! You can certainly achieve a nice full look by just undergoing a breast lift without any implants. In reviewing your pictures, you seem to have enough volume that a reduction/lift could improve the shape, size, projection and symmetry of your breasts without the need for implants.

We certainly recommend that patients get to a stable weight before undergoing their lift/reduction to get the best, most predictable results possible. So, if you plan to lose weight, the time to do it is now, before surgery.

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. A lift will reposition the nipple and reshape the entire breast, but it will also make the breast a little smaller. Outside of an implant, fat grafting in addition to the lift will improve the contour and provide some fullness (although not a powerful as an implant). If you need to lose weight for health related reasons then you should definitely try and do so as this should be the priority. In terms of the effect of weight loss on your breasts, it might cause them to deflate to some degree. I hope this helped. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon. Houston, TX.

Daniel Barrett, MD · Answer

Dear sweetheartsu1023,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, you can achieve a better placement of your natural breast to give more upper breast fullness and better cleavage. You do not need implants.  Should you loose weight, you may be somewhat smaller.  If you plant to loose weight, do this first.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that you have ample volume, there is a degree of breast asymmetry, you have lost superior pole breast volume, there is significant areolar enlargement, and the breasts demonstrate moderate-significant sag.You do not require an implant. A full pattern lift will conify the breasts, place the nipple-areolar complexes in normal position, and remove excess skin and areola.Consider a breast reduction as well, as the weight of the breasts may contribute to recurrent sag.Visit a board certified plastic surgeon for evaluation, examination, and discussion.Best wishes...

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