Do my breasts sit too low? Should I get a BA & BL?

I would of course need to do a good examination to give you the best advice, but from your photograph it seems you could expect a very nice result with augmentation and lift together. Without a lift, your nipple position would probably still remain quite low. Good luck with your possible future surgery!

Thank you for your inquiry! From the photo, you may just need an implant to give you the volume you are looking for. Fat transfer to the upper breast is also an option. You have options. We would love to meet with you to discuss your options. Schedule a consultation with a Board Certified Plastic Surgeon.

This is not a true case of breast ptosis since the nipple is positioned above the inframammary fold. It is classified as glandular ptosis (pseudo-ptosis). Therefore, a lift will not be necessary. A dual-plane approach (partial submuscular placement) is recommended to minimize animation deformity. Breast augmentation alone will be sufficient to achieve the desired results.

Dear alopez112898,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question and photos. The answer would depend on your goals. I recommend scheduling a consultation with a board certified plastic surgeon to discuss your options. I have included a video in hopes to answer some of your questions.

Hi, you have a natural shape to your breasts, and having breast augmentation can really enhance your look. It will give you fullness at the top where it is currently lacking. You could have a breast lift too, if you want your nipples to be a little higher, but at your age, I would encourage you to avoid this. If you have children someday, then your breasts will get a little lower and you can have the lift to correct it at that time. Talk to your PS to get an in-person answer to your question and so that you can learn what to expect with all the different implant size options. Best of luck!

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thanks for asking, I think for your pictures that with just breast implants will be perfect, you don’t need breast lift at this moment

You should also consider fat grafting if you want to look natural. If you have enough fat, when harvested gently, it will be highly permanent after grafting and may give you the result that you want. If you like the stable form that implants give of course you can choose them but most of the time you will need to revise them in the future; meaning that you will have additional surgeries. Your breasts will also change with pregnancy as well. About the lifting, you might need 1-2 cm, which can be decided after measurements.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a more detailed and personalized plan I would recommend that you consult with a plastic surgeon in person.
From the pictures provided you do not appear to need a breast lift , a breast augmentation should give you the upper pole fullness you seek ,if you wish for a slight lift then placing the implant in a dual plane fashion can give you that slight lift.
I hope this helps, best of luck!