Lift required? Advice? (photo)

Thanks for your question. The nipples are in a good position relative to your breasts, so I would suggest that it is unlikely that a lift will be needed alongside your augmentation. However, you may wish to address any pre-existing asymmetry between your breasts by adjusting the skin envelope of the breasts at the same time as the augmentation.

An in person evaluation or more views would help with the best recommendation for you. From the submitted photo it appears there is some asymmetry with one breast being larger and sagging lower. In order to fully correct this a lift with implants would be needed. I encourage you to visit with a board certified plastic surgeon near you for a consultation. Together you can discuss the look you want to achieve and options available to reach that goal.

Dear Sensible165643,
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