What grade ptosis am I & will implants alone give me more fullness/volume? 5'2, 34 y/o, 127lbs (Photo)

Dear Gregarious184049,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your breasts are asymmetrical in volume, shape and position. Implants alone cannot change shape and position. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

It's difficult to judge ptosis degree with the arms not at your sides. Based on your photo you will have the best outcome from an augmentation with a lift. Implants alone will give you more volume/fullness but the nipple position will essentially remain the same. I encourage you to visit with a board certified plastic surgeon near you to learn more.

Yes implants alone will give you significant volume and fullness. It will make your clothes fit better. You will even get a small amount of lift from the implants. Please see a board-certified plastic surgeon. Good luck!

You do have some ptosis or sagging, but the correct amount, probably 2 to 3, cannot be stated with your arms elevated and your photo slanted. with no lift, you can achieve more fullness, but still will sag. Implants and a lift are best.

Thank you for your question. Of course and in person examination is necessary to properly answer your question.

However based on your photograph the nipples are at the bottom of your breast with no normal breast skin showing underneath the nipple. This is grade 3 mammary ptosis and requires a breast lift with breast implants.

If you have breast implants placed without a lift then there is a risk of a snoopy deformity.