Breast lift with or without implants? (Photo)

"Thank you for sharing your pictures. To restore upper pole roundness and fullness without significantly increasing your bra size, a breast lift (mastopexy) with auto-augmentation might be an excellent option. Auto-augmentation utilizes your own existing breast tissue to reshape and augment the breasts, giving them a fuller and more youthful appearance without the need for implants.

However, based on your goals and the specific shape you want to achieve, combining a breast lift with a modest-sized implant could achieve the look you want without drastically changing your bra size. It's important to have an in-depth consultation with a board-certified plastic surgeon. "

You have breast ptosis and sagging, but have enough volume to reshape, and you expect not to go bigger sizes. At that point, ı recommend autoaugmentation technique.Auto- augmentation technique, which means your own tissue is prepared like an implant and fixed to the upper part of the pectoral muscle fascia from inside and gives implant effect and gives upper pole fullness and also with internal bra which means special suture technique to give more support would be a better solution for you.

Hello polite641556,

Thank you for your question and the pictures regarding a breast lift with or without implants, as well as sharing your history. In your comments, you mentioned not wanting to increase your breast size. If you prefer not to increase in size, I would advise against using an implant or a larger implant. Consequently, I would recommend only a breast lift. However, considering your age and history, it's unlikely you will achieve significant upper pole fullness with a lift alone. To attain upper fullness, I suggest inserting an implant, coupled with the resection of a significant amount of breast tissue to maintain your current size. This approach, combining breast augmentation with tissue reduction, should also include a full anchor or inverted T breast lift. I hope this provides clarity to your query about a breast lift with or without implants. Wishing you the best.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Hi, thank you for sharing your question. If you do not want to change your bra size then you may want to avoid adding implants. A breast lift will create a youthful appearance but the ability of this procedure to create upper pole fullness will depend on a number of factors. Discuss this with your plastic surgeon.

Definitely you will benefit from a proper full breast reduction. Absolutely no implant, way to risky and not needed. After a reduction, one may opt for augmentation for upper pole fullness if desired. Having said that, a well done reduction will result in a high, tight proportionate breast approximately a "C" cup. See attached for an example. Thank you and thanks for sharing!

Thanks for your question. From your pictures, it seems like you're a good candidate for a breast lift. Note, if keeping or increasing your size matters, a breast lift with implants would be best. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Dear Polite641556,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello!
This is a good question, and a common concern!
From your photos, you may be a good candidate for a breast lift, without a reduction and without implant placement. It seems as though you have enough breast tissue that will allow for that cleavage and fullness you desire to have again, without the need for implants.
As always, an in-office consultation is required to really examine your breasts and your own unique anatomy, as well as discuss the procedure and any questions you may have.
Best,Dr. Tanovic

Hello and thank you for your question. From the pictures you have provided, you have some striae (stretchmarks) present throughout both breasts, grade 1 ptosis (mild drooping) on both breasts, and slight asymmetry with the left nipple areolar complex (NAC) appearing slightly smaller and lower compared to the right. You are satisfied with your volume. You would definitely benefit from a mastopexy (breast lift) to help improve the perkiness and symmetry of your breasts. Given the significant amount of excess skin present in your case, you would need an inverted-T incision pattern ("anchor" scar)- this would allow for resection of the most skin and the best control over reshaping the breasts to an aesthetically appealing result. Since lack of volume is not the issue, you would not benefit from the implants. The breasts and skin can change a lot over 10 years, especially with all the physiological changes of pregnancy, childbirth, breastfeeding, and weight fluctuations. As a result, your breasts can definitely be made more perky and symmetric, even if they won't be all the way back to the same breasts you had 10 years ago.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

In person exam is essential. Based on limited photos - it appears that you would benefit from Breast reduction/ lift to make your breasts perkier. You have sufficient volume and don't appear to be a candidate for implants ( which will increase your size). I suggest that you seek an experienced Board Certified PS and review the procedure in detail