Do I need a lift? Want a very conservative augmentation to restore upper pole fullness.

I would like to restore list volume without going much larger. I'm a 32B and weigh 110 at 5'7@. Is it even worth an augmentation? Will I also need a lift?

Doctor Answers 7

Breast lift

From the look of your photos, with very thin overlying tissues a submuscular implant will be better. Because your breasts have migrated so far down the chest wall it will also be nessary to move the breast tissue back up on the chest wall with a vertical lift. In my experience, small implants and large amounts of skin removal in this situtation have longer lasting elevation of the breast on the chest wall. Good luck. 

Louisville Plastic Surgeon
4.7 out of 5 stars 54 reviews

To Lift or Not To Lift?

Good afternoon!

I think a donut mastopexy with implants will look awesome! Under the muscle silicone is the way to go!

Donald R. Revis Jr, MD
Fort Lauderdale Plastic Surgeon
4.5 out of 5 stars 118 reviews

Breast lift with implants

Thanks for your question; in my opinion in your front picture there is some pseudoptosis; you are a good candidate for a breast lift with implants, it will improve upper pole fullness; and the position of the areola will be returned to a more aesthetically one.

Best wishes. 

Kemil Issa, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast Augmentation vs. Breast Augmentation with a Lift

It is difficult to determine this by only looking at a frontal view of the photograph.  There is however some ptosis (sagging of the breasts). It would highly benefit you to go consult with a Board Certified Plastic Surgeon in person to get the best results possible. 

Stephanie Beidler Teotia, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 34 reviews

Need for mastopexy with BA

Hard to tell from photos without an exam, but really depends on what type of result you are looking for.  Patients who are potential candidates for a lift and undergo augmentation alone appear much lower on the chest wall. This works well for some patients.  IN general the larger the implant, the better this works. For those looking for a more elevated appearance with upper pole fullness, a mastopexy is then usually required.  In-person encounters can tell us more specifics like skin redundancy, soft tissue quality, and exactly what someone is looking for.  Experiencing a consultation with a board certified plastic surgeon will provide you with all of these.

Ronald A. Lohner, MD
Philadelphia Plastic Surgeon
4.7 out of 5 stars 20 reviews

Implants with a lift

Based on your pictures, you definitely would benefit from a breast augmentation and possibly a lift. You need to be examined by a board certified plastic surgeon to fully assess the level of ptosis (sagging of the breast) and quality of the skin/tissue in order to choose the right operation for you. 
Good luck. 

Nour Abboushi, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Lift with implants

While you only posted the frontal view, it does look like you have some ptosis and would likely need a lift with an implant. An exam in person is the best way to determine this.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

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