Do I Need a Lift w/ Implants If I Only Have Minor Sag to my Breast?

im 20. i have had 2 kids and have some sag to my breasts (cup size small B) but its not bad, just minor. (or thats what it looks like to me) if i get larger breast implants, will that fix the sag i have? or will i need a full lift? i really dont think i would need a full lift, just bigger sized saline implants. so yea, if the sag isnt bad bad will the bigger implants work fine?

Doctor Answers 34

Lift or Implants for "Minor Sag"

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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.

Denver Plastic Surgeon
4.7 out of 5 stars 45 reviews

Lift or no lift?

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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.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 9 reviews

Bi- planar breast augmentation can often compensate for minor degrees of breast ptosis

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Thank you for your question.  As others have stated it is necessary to examine you in person to give you an accurate answer to your question.

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.

Not necessary to go for larger implants

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The right size and profile of an implant will help correct mild sagging, so you won't need a lift. You don't need to choose larger implants, usually a higher profile is the only thing necessary. 

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 25 reviews

Need a Lift w/ Implants If I Only Have Minor Sag

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In general, we consider lifting when the nipple is at the level of or below the level of the fold beneath the breast.  Sometimes, following either weight loss or changes following pregnancies, one loses the fullness in the superior part of the breast which can make the breast appear as if it is sagging. But the nipple is still above the fold. In this situation, implants alone may suffice. Occasionally, one's anatomy may be suitable for augmentation only if the nipple is at the level or just below the crease. One of the dual plane approaches may be indicated. Your plastic surgeon should be able to give you the pros and cons of the various options after a good consultation and exam. Good luck.

Lift or implants?

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Probably you can use implants only to achieve your desired result, but it will depend on your nipple position.  If the nipples point downward you will also need a lift. Good luck.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 62 reviews

Breast Lift Needed?

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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.

Bryan Armijo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 26 reviews

When to decide if a Breast Lift is needed, versus an Breast Augmentation alone

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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

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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. 

Samuel Maurice, MD
Des Moines Plastic Surgeon

Breast implant

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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.

Best wishes

Ellis Choy

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.