Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below (photos)

Question

I lost 20 pounds and my breasts are deflated up top. I’ve never been satisfied with my breasts as they sag quite a bit, even when I was chunkier the sag was more obvious. Looking at these pics do you recommend a lift with BA or only a BA? I would prefer a lift w/BA if the BA alone would sag my breasts more at the bottom even with upper fullness, but I’m afraid that since my nipple position is in a good place that the lift would leave it too high up. What can be done about this?

Steve Laverson, MD, FACS · Answer

Wish pictures can be achieved for you with augmentation only.  Because you want volume, your loose breast skin envelope will be filled, lifted, and rounded by implants.  Avoiding the scars, additional potential complications, and added cost of breast lift for a young woman as yourself is beneficial, especially when your aesthetic vision can become reality without it.

Daniel Barrett, MD · Answer

Dear BGrl,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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tim Sayed, MD, MBA, FACS · Answer

Thanks for the question and photos. You are one of those patients on the border who have what we call glandular ptosis. Your breast volume is bottom heavy but your nipples have not yet rotated down or descended below the folds. Patients with this characteristic can often get a great result with breast augmentation alone, but they need to understand there will be some hang/bounce/lilt (whatever you want to call it), with the implant adding weight to the breast and potentially having the volume concentrated low on the chest wall. Over time, this may further stretch your lower breast skin envelope and lead to true sagging of the implants and native breast tissue. A small lift to provide skin envelope support and move the nipple/areola complexes a bit higher would be appropriate, but is not absolutely necessary from what I see in the photos. Obviously, exam in the office is required to fully counsel a patient. We use Crisalix surgical simulation software to help show patients the potential outcomes with and without a lift and with different size/style implants, which I find very helpful in directing patients in their surgical planning.

Thomas Hubbard, MD, FACS · Answer

A lift does not have to raise the nipples at all.  It can just be directed at lifting the breast tissue that sags below the folds.  Having said that you are still a good candidate for implants alone and then wait and see with the lift.  I do though ask women in your situation what bothers them more the size and hollow above or is it the sag.  If it really is the sag that bothers you the most, then a lift is real consideration.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for your question and provided information as well.
I would recommend you to have a breast lift with augmentation.I 
recommend you to get a consultation with a board certified plastic 
surgeon to help you to achieve improved results.
Good Luck.

Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below (photos)

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Answer: Should lift be done with implants?

Answer: Should lift be done with implants?

Answer: Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below

Answer: Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below

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Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below (photos)

Answers (7)

Answer: Should lift be done with implants?

Answer: Should lift be done with implants?

Answer: Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below

Answer: Breast Implants only or lift also? Pics of my breasts, wish pics and non wish pics below

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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.