Do I Need a Lift w/ Implants If I Only Have Minor Sag to my Breast?
Doctor Answers 34
Lift or Implants for "Minor Sag"
While increasing the volume of your breasts can help to fill your breasts, implants do not lift the breast.
If you have had some deflation of the breast, but the nipples are above the height of the breast crease and the bottom of the breast has not dropped significantly, filling out the breast skin with more volume (breast implants) can work beautifully.
If the nipple or bottom of the breast are too low on the chest, a lift may be a better alternative.
Your plastic surgeon can make this determination for you at consultation.
Lift or no lift?
It would completely depend on how much excess skin you have and wear that skin is in relation to the crease beneath your breasts. If it is above, you may not need a lift. If most of your breast is below the crease, you will probably need to consider a lift. Another way to try and figure this out is to look at yourself in a mirror. Do you see any breast skin beneath your areola? or is the areola at the bottom of the breast when you look at the reflection.
Bi- planar breast augmentation can often compensate for minor degrees of breast ptosis
Generally speaking if your nipple is above the inframammary fold, the fold beneath your breast, then this sagging is called glandular ptosis and a biplanar breast augmentation may suffice without the need for a lift.
Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in breast lift surgery and who has an excellent reputation in your community.
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Not necessary to go for larger implants
Need a Lift w/ Implants If I Only Have Minor Sag
Lift or implants?
Breast Lift Needed?
To give an accurate answer, an in-person examination would be necessary. Hopefully, you’ve scheduled a consultation with a Board Certified surgeon to ensure a safe and low-risk procedure.
When to decide if a Breast Lift is needed, versus an Breast Augmentation alone
Thank you for your question. Without images it is difficult to answer if a breast lift is required.
In simple terms if you have breast tissue falling below your breast crease a lift may be needed. This is especially evident if you can hold a pencil when placed under your breasts. In some practices surgeons recommend a sub-glandular placement of the implants to avoid a lift (versus placing the implants below the muscle). This may not be the best practice in the long term- since the amount of sag may increase with the added weight to the breast tissue, as well as may result in "low" sitting breasts. You are best served to meet with a few plastic surgeons who are experienced with this procedure to best determine what is best for attaining your goals.
Sergio Maggi, MD, FACS
Director- Austin Plastic Surgery Center
Lift with implants vs implants alone
In some patients with just mild sagging, implants alone can be placed. With greater degrees of sagging, a lift with implants are a better option. It is hard to say what is best for you without performing an exam or seeing pictures. I would recommend visiting with a board certified plastic surgeon in your area who can examine you and advice you about your best option.
Without seeing any photos, it's difficult to advise accurately regarding your situation.
I think being relatively young with only a minor sag and a desire for bigger implants, I believe you would be a potential candidate for consideration of a breast augmentation alone approach without the scarring involved in a breast lift procedure. It all depends on your expectation & preference for the ideal surgical outcome that is right for you.
It'll be best for you to seek a in person consultation with a fully qualified specialist plastic surgeon for further advice.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.