Pseudoptosis - implant only or implant and lift? (Photos)

Question

I would like slightly larger breasts. They Are naturally on the larger side, But i would like more volume at the top half of breasts as well as a slight elevation of My nipples to create more perkiness. Is this something that can be done with an implant alone? I have not breastfed and am not planning to the next 4-5 years so i would like to avoid a lift if possible. I've read implant alone can lift the breast slightly in false ptosis cases, is this the case for me?

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Yes so an implant can give you some upper pole fullness however like all things with gravity and time they will drop a bit. Given your natural breast tissue sits lower you would have to lift them up and under go and anchor lift. Speak to you plastic surgeon about your options and see if you that is something you would want.

Gary M. Horndeski, MD · Answer

Implants do not lift the breasts. They can change the position of the nipple-areola but not the breast tissue. 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. 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.

John Michael Thomassen, MD · Answer

I would recommend a lift without an implant.  I know, not one of your options.  However, an implant would make you very large and ptotic, not the look I think you would like.

Sean T. Lille, MD · Answer

A breast implant is the best shape preservation device for fullness in the upper pole of the breast.  Implants come in different shapes and sizes to help accommodate different scenarios. I would not expect the nipple to be higher with just an implant or that it would keep the breast from hanging over the lower breast fold. The surgeon you see would determine whether or not any breast lift would be needed.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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

Harry T. Haramis, MD, FACS · Answer

Implants can provide more upper fullness and a small lift effect without a formal breast lift with scars in pseudoptosis.

Breasts will still look natural and slightly low- not high, round and perky. Usually, this is a nice improvement while avoiding formal mastopexy scars.

Usually implants dual plane (half under muscle) or totally above the muscle work best.

An exam and consultation with a plastic surgeon is recommended to further discuss your options and expectations.

Daniel Barrett, MD · Answer

Dear Fsg123,
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

Wess Cohen, MD · Answer

Thank you for your question. Increasing the volume of your breast can help to lift the nipple as the volume of the breast is now distributed. This can be achieved with either fat, grafting, or with a breast implant. If you decide upon an implant in order to achieve maximal rotation of the nipple, the implants should be placed on the sub glandular plate. However, you should be aware that you will need a breast lift in the future as putting an implant in will increase the nipple to fold distance and cause a sagging breast overtime. Good luck.

Connie Hiers, MD, FACS · Answer

No, you do not have pseudo ptosis but ptosis.  You will need a lift or will just have larger and still sagging breasts. However, if you go much larger, they will just sag again from the heavy weight. Also, your breasts naturally sit somewhat low on your chest and cannot be moved high. The bases of your breasts cannot be moved.  I would suggest a lift. You could consider minimally invasive radiofrequency skin tightening with Renuvion to help tighten your skin with small incisions.

Douglas Taranow, DO, FACOS · Answer

You have large beautiful breasts which have some ptosis.  I would NOT do an augmentation, but rather a lift.  A mastopexy does not interfere with breast feeding as it only involves skin removal.  You should have significantly higher, rounder breasts with an aggressive lift.
Best wishes.
Dr. Taranow

Pseudoptosis - implant only or implant and lift? (Photos)

Answers (11)

More Breast Lift with Implants Questions

BA-- is lift needed? I'm also getting fat grafting from inner thighs to bring breasts closer together/make cleavage. (photos)

Would 300cc round, high profile Mentor implants help me achieve a bigger result? (photos)

How to correct breast lift augmentation? 350cc, round, high profile bottoming out & more (Photos)

Breasts look weird when bending forward. Is this normal? 7 months post-op (Photo)

Should I avoid breast lift if I have had a hypertrophic scar?

Do I have double bubble or is this breast tissue? 18 months post op, 300 cc under the muscle (photos)

WE SEND PRETTY
EMAILS