Can you get a Breast Lift without adding Saline or Silicone to them?

Yes, you can certainly have a breast lift without increasing the size with implants.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question. A Breast Lift (Mastopexy) procedure will essentially just rearrange (lift) the existing tissue that you already have. You definitely do not need to have an implant inserted in order to have a Breast Lift. 

The procedure is done at an outpatient surgery facility under sedation or general anesthesia.
There are a variety of techniques for these operations. Most commonly there is an incision around the areola and another between the areola and breast crease. This technique is referred to as the "lollipop" technique and avoids a long scar in the crease under the breast (older anchor technique). On occasion, especially with mastopexy, these incisions may be modified and more limited. If breast sagging is minimal, the procedure may only require the incision around the areola. It is unusual to use the "anchor" or "inverted T." This is an older method that creates as much as twice the scar and can flatten the breast, creating less forward projection and suboptimal shape.
The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped to a pleasing contour that is more normally positioned.
In some cases, the insertion of an implant, may be advisable, or your own fat can be transferred to enlarge and shape the breast. This is the "California Breast Lift" or Natural Breast Enlargement.

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon

#RealSelf100Surgeon 

#RealSelfCORESurgeon

A breast lift (mastopexy) is often performed in patients with breasts that
are adequately sized but saggy. This is a powerful procedure that can lift the
nipple, remove excess skin (and sometimes breast tissue), and reshape the
breasts to sit higher on the chest in a more youthful position. The
trade off is a scar on the breast around the nipple with a possible extension
down towards the breast crease creating a lollipop or inverted “T” pattern. The
size and location of the scar depends on the amount of lift needed, the
patient’s anatomy, and surgeon preference.
See the link below for more information on breast lifts. 
A detailed examination will help delineate the best surgical treatment.
Digital three-dimensional simulations can help you better visualize your
potential outcome. Consultation with a plastic surgeon certified by the
American Board of Plastic Surgery would be the next best step.

Thank you for your question. It's difficult to give exact recommendations without photos or an in person consultation. Generally speaking, you are able to get a breast lift without adding implants. If you want additionally volume without an implant you might consider fat transfer. Additionally, we can use Seri strattice to create an internal bra if necessary. You will need to make sure you work with a board certified plastic surgeon with expertise in these areas. 

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  If you are an appropriate candidate for a breast lift, this can be designed to result in an improved shape and contour of your
breasts while minimizing scar appearance.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your inquiry. Yes definitely can have a breast lift without adding implants. Good Luck

Yes, a breast lift can be performed using a lollipop incision to an inverted-T incision to lift the breasts.

Thank you for your question. The answer is yes. I recommend that you make an appointment with a board certified plastic surgeon for a thorough examination and to discuss your surgical options.