Natural looking breast - can I get a breast augmentation without lift? (Photos)

Question

Breast augmentation only if I want very natural looking breast

Semih Yildiz, MD, FEPOBRAS · Answer

Based on the photos, an augmentation alone would likely add volume, but it would not reliably lift the nipple position or tighten the lower breast skin. If the nipple and breast tissue sit low before surgery, placing an implant alone can sometimes create a larger but still droopy breast, or a shape where the implant sits higher than the natural breast tissue.

A natural-looking result does not necessarily mean avoiding a lift. In many patients, the most natural result comes from using a modest implant for volume and a lift to center the nipple and reshape the lower breast. The exact scar pattern depends on your measurements, skin quality, nipple position, and how much reshaping is needed.

If you strongly want to avoid lift scars, you should ask your surgeon to show you what augmentation alone can realistically accomplish and what compromises you would be accepting. In some borderline cases, a small implant can be reasonable, but if there is true ptosis, the tradeoff is usually lower nipple position and less predictable shape.

An in-person exam with breast measurements is the best way to decide. Bring goal photos that show the natural look you want, and ask specifically whether augmentation alone would create the breast shape you want or simply make the current shape larger.

John L. Burns Jr., MD · Answer

An implant will give you the breast you have now only larger.  In your case I'd suggest a dual plane technique.  You can do the implant first and see if you are happy with the results. If not you can always go back and do a lift.

Michele DeVito, MD, FACS · Answer

Breast implants can give you upper pole fullness. If you go with a implant that is not to big, you can achieve natural looking breasts. Find a implant that compliments your body and you can have natural, fuller breasts.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. If you are looking for just bigger breasts but same positioning of your breast tissue then you can go above the muscle. Discuss your options with your plastic surgeon and be sure to bring in wish pics of someone with a similar frame and size. Feel free to check out website for some before and afters.

Daniel Barrett, MD · Answer

Dear Celebrated164317,
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

Gregory Lakin, MD · Answer

Thank you for your question. It is possible to undergo breast augmentation without a breast lift, but the results will depend on your individual anatomy and desired outcome.

From the pictures you have provided, it appears that a breast augmentation alone may be able to achieve a natural-looking result by adding volume to the breasts. However, it's important to keep in mind that a breast augmentation will not correct any sagging or droopiness in the breasts, and will only increase their size. If you desire a lifted appearance, a breast lift may be necessary in addition to breast augmentation. It's also important to consider the long-term effects of breast augmentation alone. Over time, the weight of the implants can cause additional sagging and droopiness in the breasts. If you are concerned about this, a breast lift may be the best option to achieve long-lasting results.

Ultimately, the decision to undergo a breast lift in addition to breast augmentation will depend on your individual anatomy and aesthetic goals. I would recommend scheduling a consultation with a board-certified cosmetic surgeon who can evaluate your anatomy and discuss your options for achieving your desired outcome.

Leila Kasrai, MD, FRCSC · Answer

It depends on what you consider to be a “natural looking breast”. Wish pics would help allow your surgeon to understand what your goals are. Generally speaking, a lift is recommended if the nipples are located at or below your breast fold, which is true in your case.

Gerald Minniti, MD, FACS · Answer

You can get a breast augmentation without a lift, but it won't look natural. It will look abnormal. Having a breast surgery expert perform what will really make your breasts look attractive, implants and a lift, you will love your breasts, even with the hard to see scars. If you think dark skin or African American heritage relegates you to thickened, hypertrophic, or keloid scarring, your are very wrong. Breast skin is very forgiving to incisions and typically heals very well.

Gary M. Horndeski, MD · Answer

Your breasts are low on the chest wall. Implants only add volume. The technique I recommend is 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.

Randal Haworth, MD, FACS · Answer

Based on your pictures, you will need a lift (it can be combined with a breast augmentation) in order to achieve good results. It can be a vertical or a Benelli lift.

Of course, an “in person” exam is necessary.

I hope this helps,
best of luck !

Natural looking breast - can I get a breast augmentation without lift? (Photos)

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