Can I avoid a breast lift with high profile implants? (photos)

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. 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

Thank you so much for submitting your question and sharing your story! Unfortunately, the best
answer I can give you is that you should schedule a consultation with a board-certified plastic
surgeon who can properly assess your skin elasticity. While it is possible to avoid a breast lift with
implants in some cases, it would appear that you have a fair amount of breast tissue already. This
means that an implant may only pull harder down on your skin and create worse skin ptosis. During
a consultation, your surgeon will be able to better determine if you can avoid a lift. Thanks for the
questions, and good luck with your aesthetic journey!

Your breasts are widely separated and the nipple-areola complex is pointing outward. Implants alone will not solve your problem. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

In order to provide you with a precise treatment plan an examination in person would be required. That said, your rapid weight loss and subsequent weight gain has caused your breast skin to have stretched out resulting in the sagging or drooping. You do not necessarily need a high profile implant as much as the correct width and volume to achieve the desired look. Your implant position can be subglandular, subfascial, or dual plane, but the pluses and minuses of each option should be discussed with your plastic surgeon. I strongly recommend you prepare for your consultation with photos of “favorites” which will guide your plastic surgeon in selecting the proper implant for you. Best of luck to you.

You definitely need a lift with implants. Implants alone will look terrible. I think waiting until you are done having children is a smart idea.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination but it appears that you could have an implant alone and not require a lift. Hope this helps.

Dear rrrrr_o,
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

Good afternoon,
You don't have to have a breast lift now- I think you can choose the appropriate size and profile implants, very likely HP- that will give you a nice result now and still allow you to postpone a lift until after kids!

No, you will still need a lift. However, you could just have implants placed behind the breast for bigger and still sagging breasts, then choose to do a lift after you have had all the children you want. I would suggest doing the augmentation and lift for a much better look. Some breasts change only a little after pregnancy.

I recommend waiting until after your children and then doing implants with a lift. I think that if you do implants now there is a good chance that when you milk comes in it will ruin your skin from stretching and your eventual outcome will not be as good as if you wait.