Can I get breast augmentation without breast lift? (Photo)

Question

Hi, I'm 35 years old, 5'5, and 190lbs. I have breastfed two children and I'm interested in getting implants. Would it be possible to get implants without a breast lift? Also, if a breast lift would be needed is it something I can opt to do at a later date after the augmentation? I believe my nipples are even with the fold and I have stretch marks breast feeding.

Carlos Marciales, MD · Answer

Hello, no, you need a breast lift with implants, just putting implants will have a very poor quality result, it must be a lift with implants

Daniel Barrett, MD · Answer

Dear Peaceful959080,
based on your photos, you will need a lift to get good results. 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. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Thanks for your question! Personally, I would not advise it. I think that your breasts will be larger but will be very droopy. If you were going to stage the surgeries, the better choice would be a lift first and an implant down the road. Good luck!

Gary M. Horndeski, MD · Answer

I would recommend breast augmentation with 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, small implants can be place totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

You can do whatever you want, and you'll find surgeons to do that for you. But if you actually want beautiful breasts, you'll need a formal mastopexy. In a breast like yours (clearly ptotic with stretchmarks), your soft tissue envelope will sag and settle in an unnatural and unattractive way over the implant. To be clear, a periareolar 'breast lift' like a crescent or donut lift will not suffice, and could lead to great difficulty revising to a formal lift later, so don't opt for that kind either, it will only lead to more problems.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 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

John L. Burns Jr., MD · Answer

Yes, it depends on what your aesthetic goals are.  If you do must an augmentation I'd suggest a dual plane approach

Ronald J. Edelson, MD · Answer

You are more in need of a lift than implants. If you don’t want the scars from a lift you would be better off doing nothing at all

Harry T. Haramis, MD, FACS · Answer

Unfortunately, after childbirth and breastfeeding, changes in breasts may result.

Yea You can get implants without a lift- above the muscle would restore some fullness and raise them but they will remain low. In my experience, many patients avoid a lift this way.

Otherwise: Implants under the muscle without a lift would likely exaggerate sagging. For very high, perky full breasts, implants with lift are indicated.

Lastly, You can also do a lift later, after the implants, if needed.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

James Knoetgen, III, MD · Answer

Yes, it’s possible to get breast augmentation without a breast lift. Breast augmentation involves increasing breast size through implants, while a breast lift address sagging by reshaping and lifting the existing breast tissue. Your choice depends on your specific goals and the recommendation of your plastic surgeon.

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