Can I have just implants and no lift? (Photos)

Implants are centred behind the nipples so without a lift, yours would sit rather low on your chest and provide no fullness in the upper pole.

Hello,
Thank you for the question. From the photos, it appears that breast augmentation without breast lift is possible.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos, nipple position seems preserved. You would likely benefit from an augmentation without a lift.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

Thank you for your inquiry! We would love to meet with you to discuss your concerns. Based on the photos, the implant you are considering would possibly be enough to lift the breast without needing a surgical lift. During the in-person consult, all options can be discussed. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

You have a tight IMF to areola distance and an implant alone may further droop the position of your nipple. I would suggest expansion of your lower breast IMF and a lift in addition to your implants.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Yes and no lift; Choosing the right size and profile breast implants for you. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear Nurturing62871,

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

Larger Implants without a lift will give fullness. There will still be some left to right differences.

This can be discussed and confirmed during consultation with a/your plastic surgeon.

What determines if a patient needs a breast lift is the relationship between the position of the nipple in relationship to the IMF (infra mammary fold). If the nipple is above the IMF, then the patient does not need a breast lift.
Your breast does have some characteristics that are going to impact the outcome of breast augmentation surgery.
The distance between your IMF and Ariola is quite short.
This means if a large diameter implant is used most of the volume may end up above the nipple. for this reason a conservative assize implant may be more appropriate.
Your nipples also sit far from the midline.
When the breasted white on the chest wall, this appearance will be amplified with the projection of implants.
There’s no way to move the breast position on the chest wall so you should be aware of this going into the procedure. Paragraph other than those two variables I think you should do fine with breast augmentation surgery.
Bring pictures of yourself to use as a reference during any in person consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar breast characteristics to your own.
This is a good way to understand what your results are likely to look like and also to that the provider in regards to how much experience they have.
Highly experienced providers should have no shortage of before and after pictures of all different breast types, shapes and sizes.
Finally, I highly recommend having several consultations before selecting a provider.
Provider selection is often by far the most important variable when it comes to having high patient satisfaction from plastic surgery procedures.
Finding the right provider is much more difficult than most people realize.
I don’t think we can do this without meeting providers in person.
I recommend patients avoid virtual consultations and schedule in person consultations instead.
Most patients do not have a lot of experience consulting with plastic surgeons.
The more consultations you have the better you’ll get at the process.
The impact of the decision decisions made now will affect your body for the rest of your life. The time to be critical of plastic surgeons is before you have surgery.
Best,
Mats Hagstrom MD.