You may be ok without a lift and you could always get a lift later
It sounds like you do not want a breast lift. It is hard to know for sure what the result will be given the photo and current information but there is a reasonable chance that you will be happy with a breast augmentation alone. The good news is that you can always come back and get get a breast lift later. There are no bridges burned in doing breast augmentation first and then a breast lift at a later date.
All the best,
Dr. Remus Repta
Lift at the time of a breast augmentation
It is difficult to answer your question without better photographs. If your nipple is below the crease behind the breast and there is greater than 3 cm of breast below the crease then it is possible that you would need a breast lift. Your plan to have only the breast augmentation first may very well give the answer of whether or not you need a breast lift.
Should I have a lift? My PS thinks I should
Very difficult to give you useful advice without better photographs. Consider posting frontal and side breast photographs with your arms by your side. In regards to the outcome of the breast surgery, make sure that you communicate your goals carefully. For example “large, but not fake” may mean different things to different people. I find that the use of goal pictures and/or computer imaging are very helpful during the communication process. I look forward to seeing an additional post from you if you so choose. Best wishes.
Whether or Not to Include a Breast Lift with Implants during a Mommy Makeover
It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is the most suitable for #breasts which sag or droop (ptosis) as a result of development, aging, pregnancy, breast-feeding and weight loss . Some patients will experience better results to restore superior fullness if an #implant is used at the time of mastopexy; better known as #AugmentationMastopexy.
With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation.
Altogether, the surgery will create an elevated, more youthful breast contour. Also, the nipple and areolae of the desired size and correct heightmay also be addressed. I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.The best method and #technique for your #procedures will be discussed in greater length during your one-on-one consultation with a board-certified plastic surgeon.
Even though the pictures are limited, it appears that your nipple position is relatively good and don't have too much ptosis. You can do the lift later on if you are not happy and financially won't be too bad.
You can always get a lift later.
hard for me to say from the photo whether a lift would be absolutely necessary
for you. If you feel hesitant about the lift because of the extra incisions
specifically, I recommend looking at some before-and-after photos of breast
lift patients dated a year or more after surgery. Most of the time, the
incisions heal up to nearly invisible. However, if you’re uncomfortable with
the idea of a lift at all, there’s no reason you can’t proceed with the rest of
the mommy makeover (breast implants and tummy tuck) without a lift. You can
certainly schedule the lift later on if it’s still necessary after your
Should I have a lift? My PS thinks I should (Photo)
It's difficult to say from the photo you posted, but depending on the results you are hoping to achieve, you may be just fine with a breast augmentation alone. I'm sure your surgeon knows in better detail what your expectations are and is just letting you know that based on skin quality, genetics, weight, etc, you may need a lift in the future. Remember, you can always do the lift later and typically, you can use the same implants. See how you like your results and go from there. You may love them with the augmentation alone and have saved yourself from the scars of a lift. ac
Breast Augmentation with Mini Ultimate Breast Lift(TM)
do not like lifts because of the ugly vertical scars of the traditional
techniques, nipple numbness and the inability to breast feed.For this reason, a new technique was
developed called Breast Augmentation with Mini Ultimate Breast LiftTM.Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be
placed.Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result.Frequent causes of
dissatisfaction is over implantation and not performing a simultaneous lift when
needed.400 cc implants are large, will
not fit retro-pectoral, will extrude inferiorly and laterally requiring
Gary Horndeski, M.D.
Should I have a lift? My PS thinks I should
Hi. In my humble opinion, you do not need a breast lift but would do very well with a breast augmentation. I would perform it through a periareolar approach using silicone gel implants in a sub muscular position in the neighborhood of 350cc with a moderate plus profile. Good luck
You will likely be just fine without a lift, but it is difficult to see with the picture that you posted. A large number of patients are what I call "tweeners" where they may get a modest benefit from a lift, but then they may not really want the associated scarring and long term implications of the lift. This is a personal value judgement. Most of my "tweener" patients are satisfied with an augment alone, with only a handful deciding to go with a lift down the road. Good luck.