Given grade 2 ptosis, how common is it to receive good results with simply implants? (Photos)

Everyone responds to implants differently.  If you are OK with having your implants slightly lower on your torso, then go with just implants which obviates the need for a scar.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

From your photos you appear to be borderline for "needing" a lift. It is possiblethat larger implants could give you the breasts you desire with more volume and fullness but the breasts and nipples may stil have the same lower position on the chest wall and or there may be a snoopy breast ( ptosis off of the implants) and you may desire a lift in the future. Large implants only help up to a point, then make things look worse with residual ptosis.
If you want the best position and shape, you should strongly consider a lift after a consult with a Board Certified Plastic Surgeon who can review these options and likely outcomes based on your anatomy and tissue characteristics.

Hi Nububs; If implants are used alone without a breast lift when the nipple is lower than the infra-mammary crease, even with above muscle implants, they are going to be too low. In your photos, there also appears to be quite a long distance between the nipple and the top of the sternum and from the side view they look low on your arm. You also have glandular pseudo-ptosis. I recommend a formal consultation in order to give a definitive answer but it looks as if you will need a lift with your implants. Our Vectra 3D imager is wonderful of helping to illustrate what the results can look like with and without a breast lift. Low breasts look matronly and part of a cosmetic breast procedure is to look youthful! I don't like to place scars on breasts and in fact, do the TEAM breast augmentation, that hides the scar off of the breast, but the position of the breast on the chest and ideal relationship of the nipple and the breast mound give the best aesthetic results. We'd love to see you for a consultation. 

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 (some want smaller less droopy breasts and others want larger less droopy breasts).
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 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 upon your photos, you would benefit from a formal lift in concert with an augmentation. You have glandular/pseudoptosis with a low grade of NAC ptosis. Without a lift, you run the risk of creating a "double bubble" with the breast mound hanging off the implant.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

I recommend combining a breast lift with a breast augmentation to correct the ptosis. Having a breast augmentation alone will not create any fullness up top. Please seek a board certified plastic surgeon for an in person consultation.Regards,

Thank you for your question and photos. In your case, I would recommend getting a breast lift with implants. Adding implants to breasts with a significant amount of  sagging tissue can cause the breast tissue to hang off the implants , thus compromising the final result. A breast lift can help to address this and the asymmetry you are experiencing as well. The breast lift will help ensure that the nipples line up and that the breast shape is as symmetrical as possible. Breast implants can also help address size asymmetry by placing slightly larger implant in the smaller breast. I recommend consulting with an experienced board certified plastic surgeon to further discuss your ideal procedure. Best of luck.

Thank you for your question and helpful photos,Your breasts are low so if you add implants you will end up with large low breasts.  I do not recommend breast implants as they will only create more issues for you down the road that will require more surgery. You need a strong lift that will reshape and re-position breasts higher on your chest to create a fuller cleavage without the extra cost, maintenance, risks and complications associated with breast implants. It appears you have enough breast tissue to rebuild them into fuller/rounder perky breasts. I recommend The Bellesoma Method to lift your breasts without implants.  Please visit my gallery to find examples close to your body shape and cup size to see what can now by done with current breast lifting technology. I haven't used implants in years as they tend to cause more harm than good. A vertical scar is no longer required. Look into it. You'll be glad you did.Best wishes,Gary Horndeski, M.D

I just don’t think putting implants in alone would help. I agree that your tissue seems to be not very supportive and we do know your nipple is the lowest part of your breast and after implants it will be as well… You will just be larger and saggier. My advice would be to a lift with implants or no surgery at all!!

I dont usually recommend doing this but I have done it with some good results as long as you understand that your breasts will sit a bit lower on your chest.  It also depends on how much volume you want to place because this will determine the amount of natural lift that you will get.  With all of that said, I still would rather do a lift and an implant for optimal results.  

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, the best shape and contour could be achieved with an implant
and a breast lift. Your nipple sits below the inframammary fold and
without a lift in addition to the implant, this will not have a natural
shape.  A breast lift with an implant can result in a very nice shape if
good technique is used.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon