Breast lift revision with or without implants?

Hello,
Thank you for reaching out with your question about whether to opt for a breast lift with or without implants. It's important to consider what you're aiming to achieve with the procedure in terms of breast volume and shape.
If you're content with your current breast size and mainly looking to improve their shape or position, a breast lift (mastopexy) alone might be the best option. This procedure repositions and reshapes your breasts for a more youthful and lifted appearance without altering their size.
On the other hand, if you desire an increase in breast volume along with a lift, then combining the lift with breast implants would be necessary. Implants can provide that extra fullness and size that a lift alone cannot achieve.
In both scenarios, incorporating surgical mesh can be beneficial. It adds internal support, helping to maintain the breast's position and shape over time, especially important to prevent "bottoming out" when using implants.
Ultimately, the right choice depends on your satisfaction with your current breast size and your desired outcome. Discussing these details with your plastic surgeon will help you make an informed decision.
I hope this response gives you a clearer understanding of your options for a breast lift, with or without implants. Wishing you the best with your decision and procedure.
Sincerely,
Dr. Katzen

You can reposition your breast tissue, but you will not have much upper pole fullness without implants. If you do get implants, place them behind the muscle for better upper breast fullness and more support for the implants.

Dear AngelaLenorie,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery