Upsizing from 350cc to 450cc. Will I need a lift? (Photo)

Dear Carlita212,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Yes, you appear to have a capsule on one side, and no, you do not need a lift. I suggest going smaller to decrease your risk of another capsule. Going larger does increase this risk and you are already at more risk since you developed a capsule. Oral Accolate can be helpful around surgery and external ultrasound treatments can be used if a capsule starts forming. I would also suggest wearing a chest band after surgery.