Am I a good candidate for breast implant without a lift? (Photos)

It all depends, really.

You’re in a “gray area” where you could do a lift or not. It depends on your expectation for the outcome.

If you want a smaller augmentation with “perky” breasts and cleavage… do a lift.

If you’re ok going a little on the larger side to achieve a closer cleavage and upper pole volume… don’t do a lift.

If you put a small implant in without a lift, they’ll sit too low and wide and you may not like that look.

Hope this helps! Good luck!

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based upon your photos, you demonstrate mild sagging. This is unlikely to improve with an implant alone. However, you may be a candidate for peri-areolar or crescentic lift. This is best decided via in-person exam.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

When surgeons say- just go larger on your implant to avoid a lift- I cringe. It's all about how much skin excess you have and where your nipples sit. If you find that your nipple is below your breast crease you will need a lift. Easy rule of thumb. If your nipple is at your crease (from the pictures you have I think this is your case) you may get enough elevation with a dual plane 3 dissection. But in the long run your breast implants will sit lower on your chest. For you I think the long term answer is to get a lift with your breast aug. Longer lasting, higher and tighter look. Downside is you have to accept the incisions required. Hope that helps!