How do I get perky breasts with no breast lift? Is it achievable? (Photo)

Just putting implants in will give you the volume back to the breasts, allowing any deflation to be filled out and reshaping the breast in general . Implants alone will not do much for nipple placement but you could definitely achieve a fuller rounded out look.

Hello,Thank you for your clear question. Since you prefer not to have a breast lift, the most effective alternative to achieve your desired look would be using relatively large, high-profile round implants. This option can provide a fuller and more youthful appearance, even without additional lifting procedures. I’m confident it can bring you satisfying results.

The short answer to your question is...No. There is no reliable way to lift the breast without a breast lift. There is always a trade off. In the case of a lift...it is a scar in exchange for a lifted more youthful breast profile.

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/goal photos, I would recommend an augmentation in conjunction with a mastopexy. There are less reliable alternatives such as RF heating to attempt to tighten the skin. However, results are much less predictable.

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.

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

Dear Curliegirlie,

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

Thanks for your question! Unfortunately, there is no way to achieve your wish pics without a breast lift. If you want perky breasts, they have to be lifted. With proper scar care, the scars can fade quite nicely. Good luck!

Your goals are a "perky, lifted," "naturally fuller" look without a mastopexy scar. You have a mild degree of breast ptosis. To avoid any visible scars a few options exist:1) transaxillary breast augmentation (or transumbilical) 2) fat transfer (unlikely to be an option in you due to thin body habitus)3) BodyTite radiofrequency liposuction assisted minimally invasive mastopexy tightening--will not make you look fuller but will help to reduce skin laxity and contract the skin through small liposuction entry points that can be hidden, making the breast look perkier. There is some breast fat reduction with this procedure.These techniques will not reduce the areolar size--only skin excision of some degree can achieve a more petite, more youthful looking areolar circle. Of the three techniques, only implants are likely to give you more stable upper pole roundness and projection.None of these techniques are likely to generate the pictures of your desired result that are posted above which are likely very young women with thick skin and probably small breasts that had modest breast implants placed for augmentation.

The only nonsurgical option to lift the breasts so that they’re perkier is a good bra. You can see in your wish pics that they’re both wearing a bra as well.

Thank you for your question. I have been in practice 30 years and breast surgery and revision breast surgery is a large portion my practice. There is no question, you need a lift. It is based on your anatomy. Do not even think about it. The scars heal beautifully. You just have to find an artistic surgeon that will do the best job. No one wants the scars of the lift, but you would be surprised how well they heal. You should be able to have a beautiful result. Best wishes to you.

A breast lift is designed to move the nipple areola into a normal position and to tighten the surrounding skin. The trade-off is, of course, scars. A breast implant adds volume. The larger the implant the more fullness you will see along the top and sides of the breast. The bottom of the implant sits at the lower crease of the breast. If your nipple position is below the lower crease, an implant creates an odd shape referred to as a “snoopy dog“ look. I find that most people will be more self-conscious about how they look if they simply try to choose an implant when they really need a breast lift with or without an implant. If someone does not want to be any larger and simply wants a better shape, but wants to avoid the scars of a breast lift, then I recommend getting fitted with a good bra to push up what you already have. Based on the pictures you have submitted, your nipple position does appear slightly low. Have a consult with a board certified plastic surgeon to advise you of all of these different options so that you can make the best decision for you.