46 y/o hoping to go from a B to DD cup - can this be achieved with implants alone or will I need a lift as well?

Question

46 years old, 170cm, 60 kilos, deflated B cup after breastfeeding and weight loss of 15 kilos. Would I need a lift and if so, could I get a good result with a lift and implants done at the same time? Or would better results be more likely with a lift first followed by implants? I would like to go up to a DD cup or similar size so would definitely want implants as a lift alone will be too small. Thank you.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. If your are going to go sub muscular, you may want to consider the breast lift as well because the muscle supports the implant and it may sit higher on your chest wall than your natural breast tissue. It can definitely be completed at the same time. Speak to your plastic surgeon about your options.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, if interested. 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

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Wayne I. Yamahata, MD · Answer

Implants alone provide volume but very little lift. It is likely that with implants you can achieve your volume goals, but they will not pull up the bottom of the breast or correct the sagging. If that is important to you then you will want to consider a lift. Seek a consultation with a board-certified plastic surgeon who can exam you, then provide realistic expectations for your outcomes, with and without the lift.

Ronald J. Edelson, MD · Answer

I think a lift with implants would be the way to go. I would do what is ssh unstinted called the lollipop lift in your case and about a 325 c.c Implant

46 y/o hoping to go from a B to DD cup - can this be achieved with implants alone or will I need a lift as well?

Answers (7)

Answer: Implants alone or will I need a lift as well?

Answer: Implants alone or will I need a lift as well?

Answer: Do I need a lift

Answer: Do I need a lift

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Everything you need to know about Breast Lift with Implants

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46 y/o hoping to go from a B to DD cup - can this be achieved with implants alone or will I need a lift as well?

Answers (7)

Answer: Implants alone or will I need a lift as well?

Answer: Implants alone or will I need a lift as well?

Answer: Do I need a lift

Answer: Do I need a lift

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Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.