Will I need a breast lift in addition to implants? (photos)

Dear graacee112,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your pictures. The best way to determine the procedure which is the best for you is to find out your expectations.
Breast implants focus on creating volume while breast lift focuses on eliminating sagging breast tissue.
If you are unhappy with the position of your breasts (drooping), a breast lift is definitely the right choice for you. This procedure will raise drooping tissue and boost your appearance significantly but will not increase the size of your breasts. I recommend you breast uplift with implants.
Best wishes.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.