Will I need a lift with a breast augmentation? (Photos)

I am a 30 year old mother of 3 (breast fed for 5+ years). Prior to having my children, I did modeling and had very nice breasts. Now they feel saggy and deflated (slightly more on my right side). I am now considering augmentation, but I would like to lose about 20 lbs first (pre pregnancy weight). If I have an augmentation, I would like to avoid scarring. They don't seem too saggy now but more so than before breast feeding and I don't want implants to cause increased sagging.

Doctor Answers 14

After weight loss you will likely need a breast lift in addition to augmentation with implants

After 20 pound weight loss your breasts will appear smaller and most likely will sag further.  If that is the case then a combination breast lift and augmentation will be your best option.  From your photographs you may well be a candidate for a periareolar breast lift which causes less scarring.  Please consult a board certified plastic surgeon for an in person examination and consultation to properly answer your question.

Simultaneous lift needed

In your photograph, your breasts are too low, nipple are pointing outward and you appear to have a loose skin envelope. I recommend a new technique called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola and breast tissue over the bony prominence of the chest wall maximizes anterior projection without the need of implants. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. If you want implants, it can be done at the same time or later. I always recommend small round textured silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result. A frequent cause of dissatisfaction is not performing a simultaneous lift when needed.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

Will I need a breast lift?

Thanks so much for your question. Based on your photos I don't believe you need a lift. Your nipple and areolar position is well placed above your inframammary fold currently. This of course may change with additional 20 pound weight loss.  Even if it changes and you become slightly droopy you may not need a full mastopexy but maybe a candidate for a more limited scar mastopexy. 

Shaun Parson, MD
Phoenix Plastic Surgeon
4.8 out of 5 stars 46 reviews

Will I need a lift with a breast augmentation?

Having worked with lots of moms, your question is very familiar.  The good news is that your

photos demonstrate that you have maintained a very good shape to start with.  The nipple-

areola position appears to be above the breast fold, and volume asymmetry although present,

appears modest.  Judging by photos alone, it would appear that an asymmetric augmentation

(e.g. more volume added right -vs- left) would give you a very pretty result.  As always,  you

should discuss this with a board-certified plastic surgeon in your area.  Best wishes... 

Michael F. Bohley, MD
Portland Plastic Surgeon
4.9 out of 5 stars 18 reviews


Thank you for the pictures.

Based on your pictures, it does seem that skin laxity has taken over and the best procedure to correct this will definitely be a breast lift. Perhaps implants can be placed for volume and enhance your breast as well.

Dr. Campos

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 253 reviews

Will I need a lift with a breast augmentation?

You appear in the posted photos to be on the border line. I might try a very large implant l;ike 500 cc over a lifting operation... 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Lift with or without #augmentation

First, congrats on the 3 kids and kudos for the 5 years of breast feeding. What a commitment!
A good exam will be pretty reliable in answering your question but you should know that you may well have options. Although a lift is the most powerful way to restore the breast tissue to where it used to be, a properly selected implant above the muscle can provide a lift as well.  In some women, this is all that is needed.  Big implants can accentuate this lift but have all of the problems that come with big implants. 
Find a surgeon you trust in an office you like and feel comfortable in.  Make certain that you are presented options with explanations.
Dr. Pyle

Jeremy Pyle, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 115 reviews


its hard to tell from these photos but it may be that you could have the augmentation and then stage a lift after if needed.  To know for sure I would visit with a few PS in your area who can examine you and discuss the pros and cons of each

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
4.9 out of 5 stars 217 reviews

Breast lift with implants?

Sorry, but there are not enough photo views to tell and the angle you took the photo is not good enough to even guess. If you need a lift, a breast augmentation alone usually does not do the trick.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast lift with augmentation?

The only real way to answer this is with an in person consultation and physical exam/measurements. In general, if your nipples are >1cm below the fold under your breasts, then a lift is advised. There are exceptions to this, but again depends upon several factors that would need to be addressed during the consultation. Glad to help.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 118 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.