Sagging Breast, Lift Without Implant? (photo)

i have been thinking about getting a BA because my breast looks saggy and i am not happy with them i got sized and was told i am 34B recently sized again and was told there anyway i can have a lift without implants???

Doctor Answers 16

Sagging Breast Lift Without Implants Possibilities

Breast lift without implants - consider the "California Breast Lift"
You may be a good candidate for a minimal "short" scar technique breast lift without an implant. An exam would be required but your photos suggest that this is a great option for you. If more superior breast fullness is desired then consider a fat transfer procedure at the time of the lift - The "California Breast Lift" is a procedure which transfers unwanted fat from the abdomen or thighs to the breasts. See the below links for additional details.

Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Breast lift without implants

Dear Angel,

Of course you can have a lift without implants. It is difficult to determine which type of lift from the Ultimate Breast Lift series you are a candidate for from the angle of your photos. The UBL and the Mini UBL lift breasts without a vertical scar that weaken the skin envelope and therefore decrease the longevity of the lift. 

Hope this helps.

Kind regards,

Dr. H 

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 222 reviews

Breast Lift Only?

Thank you for the question and pictures.

Yes, you can have a breast lift without breast implants assuming:

1. You will be satisfied with the breast size/fullness/ shape without breast implants placed.

2.You will be okay with the presence of scars ( which can potentially be abnormally pigmented or wide…).  These scars will likely be around the areola and/or vertically oriented.

You will be best served by meeting with board certified plastic surgeons. Communicate your goals clearly and asked to see lots of examples of their work.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews


Hi There! The answer is yes, however it is a bit difficult to tell from the photo that you provided, you will need to have realistic expectations. The nipple will be raised by about 1 inch and can not expect a lot projection without having an implant.

Mansour Bendago, FRCSC
Toronto Plastic Surgeon
4.8 out of 5 stars 73 reviews

Lift Without Implant

If you size is satisfactory, a lift can certainly be done. You will have an incision around the areola, and a vertical incision that may contain pigment from the areola and therefore may be darker than the breast skin. A consult with a plastic surgeon can help work through the pros and cons.

Thanks and best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Breast Lift Without Breast Implants

Patients who are happy with the size of their breasts but dissatisfied with sagging or drooping often pursue breast lift surgery without breast implants. Breast lift surgery without breast implants is actually very common. During breast lift surgery, excess skin is removed and the remaining skin and tissue is lifted and tightened for firmer, perkier breasts. Patients who wish to add volume to their breasts during breast lift surgery can opt to have breast implants inserted during the procedure. It is important to schedule a consultation with a board certified plastic surgeon who has experience performing breast lift surgery to discuss your surgical desires and determine all of your options.

David Whiteman, MD
Atlanta Plastic Surgeon
4.4 out of 5 stars 55 reviews

Breast lift without implants

A breast lift without implants is an option.  But you need to think about what are your volume goals.  Do you want to be fuller?  Can just a breast lift technique achieve your goals?  All of this can be answered with a consultation with a board certified plastic surgeon in your area.  Good luck!

Dr. Basu

Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

Breast lift

Dear Angel,

    Your pictures reveal grade 2 ptosis ( saggyness) on the left breast and grade 3 ptosis on the right breast. You also have significant asymmetry, the right breat is bigger than the left breast.  If you elect only a lift without implants, your breasts will remain uneven unless you reduce the right breast. If you go with lift only, you can have a mini lift ( purse string ) on the left breast and full lift (key hole) on the right breast.  The advantages of breast implants are :  correction of the asymmetry and minilift procedure only on both breasts. Be sure to select an experienced board certified plastic surgeon.

                                Best of luck,

                                                         Dr Widder


Shlomo Widder, MD
McLean Plastic Surgeon
4.8 out of 5 stars 124 reviews

Breast lift without implants

You are a good candidate for a breast lift. While an implant can give you volume, you seem to have just the right amount of volume for an aesthetic outcome. I like to add an internal support with Strattice which will add a bit of volume as well. You also would benefit from areolar reduction which is done in the same operation. Best of luck.

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.8 out of 5 stars 95 reviews

Yes breast lift alone is possible if you like your volume


Yes, a breast lift alone to reshape and lift your breasts is possible.  It will be important to determine if you like the current volume of your breasts.  If you would like larger breasts then obviously that will require an implant.  Also, a breast lift alone will not add too much upper pole fullness, therefore if there is an appreciable amount of upper pole fullness that you desire and breast lift alone will not be sufficient.  Attached below is a link to one of my patients before and after photos of a breast lift alone.


All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.