I have pseudoptosis breast; I was wondering do I really need a breast lift? (Photo)

Yes, judging by your photographs and providing you with the most aesthetically pleasing outcome, a breast lift would be required.  A breast lift consists of removing excess skin and moving the nipple to a higher position, creating a tighter, uplifted appearance. If you are unhappy with the size of your breasts then you can also incorporate placement of breast implants along with your breast lift surgery.  

Thank you for your question! 
From your pictures you are going to benefit from a breast lift. If you like the overall volume of your breasts when you wear a bra, then just a breast lift (mastopexy) will be enough to give you a more perky look. If you want more volume, then a breast lift with implants will be a better option for you. Hope this helps! 
Best, Dr Miotto

Hi shantoura6,

Determining whether you need simply a breast implant versus a breast lift or both 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 breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. Also, price range for breast lift is around 10k to 15k depending on whether you need a lollipop or a donut mastopexy.

Another important consideration to make would be the breast implant type and sizing selection. In fact, this is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 

When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.

Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.

Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

What are your goals?  If you are seeking a breast augmentation, you might be OK without a lift (it is easier to tell in person than from a photo).  If you want a perkier, lifted breast, then you seek a lift.  Good luck!

Thank you for your question and photos
There are several variables to be considered when answering this question. It is always difficult to make a diagnosis based on photos alone, however, you do appear to be a good candidate for a breast lift with implants. When you meet with a board certified plastic surgeon, they will perform a set of measurements that will help determine whether or not a lift is necessary and what approach they will take. This will determine the type of incisions you will have. Another variable that needs to be discussed is what you are wanting. If you are wanting a fuller upper pole to your breast, then an implant will be necessary.  If you are just wanting the breasts to be a little perkier and don't mind the size, then only a lift is necessary. And to have the nipple in proper position over the implant, may require a lift. I hope this is helpful

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!

Looking at your photos I might say that you´ll be a great candidate to get a breast lift with implants, this is because your chest looks a bit saggy and the implants will definitely help you fill the superior pole of your breast giving you an excellent and beautiful shape.

Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first.

Have a great day!

Dr. JPG

You have ptosis, not pseudoptosis, based on your photos.  And depending on your measurements, it's possible that you'd only need a breast augmentation - you definitely do need an augmentation to restore your fullness and shape.  Lift can always be done later if the nipples are a touch too low.

Thank you for your question and pictures.  It is hard to accurately say based on a picture if you really need a lift or not.  If the nipple falls at the crease of your breast or below I would definitely suggest a lift.  If it is above your crease line you might be happy with just a breast augmentation.  If your ultimate goal though is a much perkier fuller breast I would suggest a lift with augmentation using an implant that fits the dimensions of your chest wall.  Hope this is helpful for you.
Dr Ernie Layton

Thank you for your question. Based on your photos you would be considered a grade 2 ptosis, not pseudoptosis. Based on photos alone without an exam, I would recommend a lift with augmentation. I recommend consulting with a board certified plastic surgeon in your area. Best of luck to you in your journey. 

There is nothing I know of that can be called pseudoptosis. Either a breast is ptotic or it is not. There are differing degrees of ptosis. The problem I see most often in my practice is that many surgeons try to take the easy way with a patient like you and place a large implant in the breast thinking the volume will make the ptosis less apparent. One think you have to remember is that the implant is a weight. Saline implants are are even heavier than gel implants. The implant will do one of two things: Weight the breast down further - increasing the ptosis - or stay within the footprint (base) of your breast with the ptotic breast hanging down off the implant giving a "Snoopy" look to the breast. Think of the cartoon character beagle with his snout project out and downward from his head with his nose corresponding to a nipple. If you elect to do the lift with an implant make sure a small gel implant is used, preferably 300cc or less. It is the shape - not the size of breast that gives it beauty. Too large and implant with a lift can cause recurrent ptosis - widening of the incisional scars or. even worse, a bottoming out of the breast in which the implant is positioned too far below the nipple areola complex (NAC.) Do the right thing the first time - avoid or minimalize complications.