Just augmentation or do I need a lift? (Photo)

Hi, thank you for sharing your question. Based on your photos a breast lift is unnecessary and the use of small implants will achieve your goals. An in-person evaluation is always best to determine a plan.

It is difficult to determine the need for a lift based purely on your photos. Your photos show asymmetry. It appears that the sagging in your left breast is very mild and probably does not justify a lift. Your right breast is lower and seems to be borderline low. The best answer to your question requires a physical examination. I would suggest either going along with your surgeon's recommendations or seek another opinion with a consultation with a board-certified plastic surgeon in your area.

In my experience, many patients avoid a lift with just implants.

Even smaller implants will restore fullness, keeping a more natural, lower look.

A lift by itself will tighten skin, raise the breast, but will not add any upper fullness. Plus additional scars.

Further exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Your plastic surgeon is correct. The best way to address asymmetry is by adjusting the breast soft tissues in the form of a unilateral mastoepexy. This will remove some tissue and relocate the nipple-areolar complex higher on the breast mound. I find that correcting asymmetry with volume (either fat transfer or implant) can make things worse; by putting volume in a already smaller, tighter higher breast exacerbates the problem because it only becomes more perky and lifted. So if you are going to use volume in the smaller, tighter breast, only use a small amount and accept an imperfect result. Your asymmetry is mild, but if it bothers you enough, a unilateral lift is the best option. I hope this helps. Thank you for the inquiry!

Just augmentation with preserve technique should be a good option for your case; it can be combined tiwh plasma tightening to avoid breast lift. The scar is beneath the breast and only 2.5 cm

Hi, for your right breast augmentation will do the job. But on your left side augmentation and donut lift needed. Before you decide to get this surgery you should be aware that complete symmetry is not possible. Of course you’ll have much more symmetrical breasts but not the exact same, which is the only natural.

Dear Nvahsisn,

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

Dear Nvahsisn, thanks for sharing your pictures and concern, after evaluate your case you you look like a great candidate for breast augmentation with implants and lift. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

This all depends on what you're truly trying to achieve. Implants will always add a more rounded aesthetic as they are round, smooth devices. You need to meet with a surgeon who can show you potential outcomes using some 3D imaging. This will help guide proper decision making.

Hello and thank you for your question.
It is somewhat difficult to tell without a side view, however, it does look as though you have some asymmetry with the left breast being more ptotic than the right. My recommendation would be placement of lower profile implants to avoid the overly projected look along with bilateral periareolar mastopexies. This will limit the amount of scarring, provide more fullness and improve symmetry. I hope this helps. Good luck.