Would like to avoid a lift because I do not want scaring. Would I need an anchor breast lift with my implants? (Photo)

Question

Hi, I have had 6 consultation since December 2021. I have finally decided on a surgen. I met with his assistant last month where we talked about my procedure and she told me I would need an anchor breast lift with my implants. I would like to avoid a lift because I do not want scaring ( I also dont mind the more "heavy breasted" look). I also don't believe I need a lift. The assistant messured my sternal notch to nipple at 24.5cm and 25cm. I messured 21.5cm and 21cm.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

John Michael Thomassen, MD · Answer

Your nipples appear to be level with your inframammary fold on the side photos.  This means you do not necessarily need a lift.  However the nipples may be slightly below the apex of the implants if the implants are placed higher on your chest wall.

Gary M. Horndeski, MD · Answer

Many women do not want lifts because of the vertical incisions associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You definitely should get a lift. In fact you are better off with no surgery at all than getting only implants. Implants alone will not look right at all

Daniel Barrett, MD · Answer

Dear sking2264,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
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

Connie Hiers, MD, FACS · Answer

Yes, you need a lift, but you can just have your implants placed behind the breast for fuller and still sagging breasts. I don't think an anchor lift is needed, but a vertical one should do well.

Ralph M. Rosato, MD · Answer

The most important measurement is the location of the nipple on the breast. If the nipple sits above the crease of the breast on the side view than an augmentation might be ok.  Your nipple looks to be right at the fold. An examination is required to see if a BA alone will be effective for you. Find a surgeon that can show you photos of patients with "heavy breasted" look.

Would like to avoid a lift because I do not want scaring. Would I need an anchor breast lift with my implants? (Photo)

Answers (7)

More Breast Lift with Implants Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Breast Lift with Implants Questions

Breast augmentation without a lift after weight/volume loss? (Photos)

Keloid scar risks on Asian skin (areola)? I am getting a breast aug with a lift

Over or under with 200cc low profile? (Photo)

Is a lift/augmentation at the same time dangerous, or safer with small implant size? (Photo)

Motiva ergonomix demi VS Motiva Round for upper pole fullness, size recommendations? (Photo)

Are breast lift and augmentation usually 2 separate procedures? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS