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

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.

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

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.

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.

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.

Thank you for the photos and question and I would go on some complimentary consultations with experts and compare recommendations after a complete examination and then look at photos of similar patients and become informed about the desired procedure Dr Corbin

Thanks for enclosing good photos with your question. With your existing anatomy you should be able to achieve your desired looks with properly chosen implants. A lift should not be required.