Can I have a larger high profile implant without a lift? (Photos)

unfortunely, you really do require a lift as well as an implant.  Your breasts are simply too far down.  You will easily be able to find someone to just insert an implant, but in the case your breasts simply will never be right.

Caligirl:  It's hard to say with certainty based on a few static pictures on the internet and of course an in person exam would be required to give my definite opinion but my best guess based on what I see is that a breast lift will be required, particularly on the lower breast.  Many women object to the scars associated with a breast lift, especially before child bearing and I don't blame them but something I learned early on in my practice is that if a patient needs a lift along with implants, do the lift.  Or don't perform the surgery at all.  My fear is that you will not obtain an aesthetically acceptable result without a lift and you will require a second surgery at greater cost and will wind up with the scars in the end anyway.  Hope this helps.Best of luck to you!G. Robert Meger MD

Thank you for your question and photos. It looks like a lift will be required in addition to placement of breast implants. I do not think you will achieve a satisfactory result with either augmentation or a lift alone. It is best to have an in-person consultation with a board certified plastic surgeon who specializes in cosmetic breast surgery. Ask to see a lot of before and after photos of their work. Hope this helps and good luck!

Re-submit the photos with the arms by your side. Elevating the arms artificially elevates the breasts. At that point, if the nipples are not below the level of the bottom of the breasts, then you MAY have pseudoptosis rather than true ptosis. Pseudoptosis is nicely treated with dual plane breast augmentation with no other breast lift procedure/scar. 

Larger implants, whether they are high profile or not, will not correct a sagging breast. If you are concerned about the scars involved with a breast lift, you can have implants now and get a lift later in life if it's needed. Consult with a few plastic surgeons in person for more detailed information.Best wishes,Dr.Bruno

This is a question I get frequently in my practice.  It would appear that you have some asymmetry with the right breast being lower than the left side.  While a large, high profile implant is likely to lift the nipple position slightly, ultimately you might be disappointed because of the persistent asymmetry and a somewhat low and heavy look to your breasts.  Very large implants won't replace the need for a lift.  The implant sits in the upper pole of your breasts and your breasts will appear to slide off the implant which isn't a youthful look.  An augmentation done by itself on a patient with asymmetry will magnify the asymmetry.  A lift with implants, while involving scars, is going to give you a much more youthful end result and correct the asymmetry between the two breasts.  Scars take some time to fade but the shape of your breasts will be better with a lift.  Consult with some board certified plastic surgeons and verify all of your options with an in-person exam.  Best of luck to you.

Thank you for providing pictures, to give you the best answer an in person evaluation is needed. Measurements need to be taken, we need to discuss what your looking to achieve, how big you are willing and is safe to go. From the picture it seems like your nipple position is too low to achieve a higher position with just implants.By looking at the pictures I would say you need a lift with implants.  When you are ready make sure you go to a Board Certified Surgeon. 

Thank you for your question.

Only with an in-person breast exam can we conclusively say
if you need a breast lift in order to make the breast augmentation beneficial.

The risk factors for sagging/drooping includes aging,
history of significant weight loss (>50 pounds), higher BMI, large bra
cup-size, pregnancy, and smoking. Sagging is not related to breast-feeding, but
it gets worse with the number of pregnancies. If you have a healthy diet and
keep a healthy weight, then your risk of further sagging is lowered. Another
recommendation is to be wearing a sports bra during exercise because the
constant pull of gravity and excessive movement during running can stretch the
breast tissue possibly leading to further sagging.

If your nipple is pointing downward, have a deflated upper
pole with most of the breast tissue hanging low on the chest, and/or if your
nipple is near or below the fold under your breasts (inframammary fold), then
you generally need a breast lift.

If you receive
breast implants without the correction, then you will not only have to go with
a larger than usual implant, but it will also appear too low on your chest
(bottoming out). The weight of the implant will worsen the amount of sagging.
You may also have a double bubble deformity where the breast tissue overlying
the implant droops below in front of the implant. It may also cause a snoopy
deformity (named after the cartoon character snoopy) that happens when the implant is held sitting in a high position by tight pectoral muscles,
while the natural breast tissue falls off the implant and hangs below at the
bottom curvature of your breast.

If you are afraid
of scars brought on by a breast lift, you can get an initial breast
augmentation, and if you become unhappy with your results, then you can definitely
opt for a breast lift in the future.

Make
sure to choose a surgeon you can trust. Your surgeon should be someone
who does not rush you, and someone who does not agree to everything you say
because safety should be the first thing on their mind. Clearly, you wouldn’t
know what is best for you, so they should guide to make decisions that will
minimize complications and allow you to have beautiful breasts in the
long-term.

Verify their skills, education, and certification.
Ask about your surgeon’s experience about the procedure you want and ask to
review photographic examples of your surgeon’s work. Check to see if the
aesthetic ideal is consistent with what you are hoping to achieve. Please make
sure that you look at pictures of patients who had the same pre-operative
breast characteristics that you display. Also make sure the before and after
images have the same perspective, the same lighting.  Read
the surgeon’s reviews for the procedure you want.

Please book an in-person consultation with a board-certified surgeon
and make sure to fully and comprehensively share your desires,
expectations, and concerns.

Hope this helps.

This question come up a lot, and I think it's the wrong question to ask and I'll tell you why. Understandably, you are trying to avoid the lengthy scars that come with a full breast lift. A larger implant is thought to give somewhat of a "lift" compared to a smaller implant, only in that it is taking up more of the skin envelope, so the skin may look less loose. So to answer your question of *can* you get bigger and higher profile implants? Yes you can, but unfortunately this is not the same thing, or interchangeable with, an actual breast lift. In a real breast lift, the breast tissue is repositioned and the skin is tightened. If you have seen others with similar before photos and like their after photos without a lift, you may be happy with the same thing. If your only goal is bigger breasts, then you may be happy with an augmentation alone, but if your goal is bigger and perkier breasts, you need to consider a breast lift. I do a lot of breast implant revisions for patients who had their first surgery elsewhere, and in my experience, patients who needed a lift from the beginning are not happy with the look of an augmentation without a lift. If you are unsure, you can always get the implants now, and get the lift later if they are not to your satisfaction. One other thing to keep in mind is larger implants put greater pressure on the surrounding tissues and skin, and can lead to even greater sagging long term. 

Breast #augmentation will
enhance the shape of your breasts as well make them fuller. You may find
yourself more comfortable wearing different types of clothing and may enjoy a
boost in self-confidence, as is the case with many happy patients.

Usually, you can expect
your #breast augmentation surgery to have long-lasting effects, nonetheless,
the effects of aging and gravity will eventually alter the shape and size and
shape of a woman’s breasts over time. As a result, you may later elect to
undergo a breast “lifting” to restore the more youthful shape, size, and
firmness.

Prospective patients
should know that the final texture, shape, and appearance are not exactly the
same as natural breasts. Many patients in fact prefer the firmness and slightly
different contours than natural breasts. However, these differences may be more
noticeable in some patients than others. The intended result of the procedure
is to enhance the size and shape of the breasts to achieve the body image
desired by the patient.



Your doctor will work with you to choose the
best implant #shape and #implantprofile based on your goals and measurements.  In my practice, about 15-20% of the patients
are good candidates for silicone #shapedimplants.  The profile is determined by the amount of
projection versus roundness that the patient desires, as well as the size of
the implant and size of her chest. The profiles are usually described as high,
moderate plus and moderate.