Do I need a breast lift with my augmentation? (Photo)

If you ask ten doctors the same question, you will get nine different answers. When looking at your photos, No, you do not need a breast lift. You have good nipple placement. Just putting some implants in there on top of the muscle will give you the upper pole fullness to round you out up top as well as the rest of the breast. Your left nipple will always be slightly lower than your right one. To make them symmetrical you could do a separate procedure to move the nipple over to line up with the right one. Of course You should always seek guidance from a licensed professional in person before making any decisions. We are purely making judgement based on the photos you have shown .

Hi, thank you for sharing your question. You have mild glandular ptosis of the left breast, but you may still be able to achieve your desired result without a formal lift procedure.

Thank you for your inquiry and congratulations on your weight loss! Based on your photos, you would be a great candidate for a Breast Augmentation. You can try on various sizes of implants and decide what size best fits your body and your goals. We would love to help you reach those goals. Schedule a consultation with a Board-Certified Plastic Surgeon so we can create a surgical plan for you!

In order to achieve perky symmetrical breasts with a nice shape (that are also slightly bigger), you will undoubtedly benefit the most from an implant with a lift.

Dear anonymous12345612,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! If you want optimal symmetry, you will have to do something (like a lift) to address the droopier breast. The areola is also larger so by reducing that, you will get it closer to the other breast. I would imagine you will benefit from a similar implant on both sides. I would strongly encourage an in-person consultation for an evaluation. Good luck!

Hello,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast augmentation procedure which can help correct slightly lower nipple position on you and give you a fuller cleavage.

Since you left nipple is more droopy on the left side, you may also need left donut breast lift (mastopexy) to help raise the left nipple and make it more symmetric with the right nipple

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

On review of your photos, as well as taking into account your stated goals, I recommend placement of a conservatively sized implant under the breast gland above the muscle, and lifting the breast tissue around the implant. This will allow rebalancing of the breast shape and nipple position. Find a board certified plastic surgeon, and ask lots of questions. Best wishes with your surgical journey!

This is a common question. Breast augmentation alone or with a lift? Implants do a good job providing volume but they do not provide a lift and they cannot improve asymmetry in nipple position. You mentioned that you want symmetry. If both your breasts looked like your right breast, I would recommend implants alone. However, your right breast is saggier and the nipple position is lower. Therefore, you would be best served with implants and a lift. But not all lifts are the same. The best type is the vertical lift. The inverted-T "anchor-scar" lift has too much scarring and is not as effective (plus it produces a boxy look). I would also recommend that you look at plenty of before and after photos from your surgeon. If you do not find any, or if the results are not to your satisfaction, that is a clue that you should keep looking.

Your breasts are asymmetrical in volume, shape and position. Your nipple-areola complexes are asymmetrical as well. I recommend a circumareola approach to reposition the nipple-areola complexes higher and more medial. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.