What would happen if I didn't get the lift and only got implants for now?

Question

I don't look this bad when I'm naked in front of the mirror these pictures look real bad up close like this. My surgeon wants me to get a full lift with an anchor scar and reduce the size of my right breast (left breast from view in picture) and then do a second procedure to place in implants if desired. I don't have enough money for the lift right now and i feel like I should get implants first before committing to the anchor scars of a lift.

Gary M. Horndeski, MD · Answer

Thank you for your question and photos,You do not need implants! All you need is a breast lift that will use your own tissue to fill the top of your breasts. The Bellesoma Method was not only designed to achieve upper pole fullness without implants, but it has also eliminated the dreaded vertical scar component. Breasts are beautifully reshaped and elevated with minimum scarring. Long term results are this technique's hallmark. An internal support is fashioned using a woman's own tissue to keep the newly shaped breast high for years to come. Nipple sensitivity along with the ability to breast feed is also preserved. Remember, implants are not stable devices and as such require maintenance in the form of costly revisions. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Randal Haworth, MD, FACS · Answer

Thanks for your question. Breast implants will only address the issue of adding or restoring volume. If you were to only just have implants placed in without a lift or mastopexy the weight of them may cause the breasts to droop further, despite them being placed under the muscle. You may end up less than satisfied and most likely require an additional surgery. Based on your photos it appears you would benefit from a lift in conjunction with implants. There are a few different lift techniques benelli, lollipop or anchor incision. I recommend an in person consult with a board certified plastic surgeon to address a cosmetic treatment plan that suits your individual needs in order to achieve the best outcome.

Janet Turkle, MD · Answer

Hello,Unfortunately, implants without a lift will only make your problem worse and causes your breasts to droop event more. If budget is an issue, you may want to consider a lift only. There will be some volume loss with that approach however. Good luck.

Daniel A. Medalie, MD · Answer

HI,Based on the pictures, your surgeon is correct in insisting on a full breast lift. Implants alone would be a mistake and give you a very poor result. If you have to choose any operation, then a lift alone would be the wisest route. I hope this helps.Regards,Daniel A. Medalie, MD

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a wise pattern 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.   
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Farah Naz Khan, MD · Answer

Unfortunately, with just an augmentation, your breasts will simply look large and saggier. Best to first get a lift if you don't have enough money for both procedures. You can then get implants at a later date. Good luck!

David A. Bottger, MD · Answer

I fully agree with the recommendation of your surgeon to get the best result. You have extreme ptosis and breast asymmetry and a staged procedure with bilateral lift with a small right breast reduction, followed by a second procedure for implant placement will give you the best shape and symmetry.  Implants alone would result in a poor result. Best of luck.

Karol A. Gutowski, MD, FACS · Answer

Without a lift, you will very likely be disappointed with the result of implants alone. See link below for examples.

Steven Wallach, MD · Answer

You look like you need a full lift with the implants. Having implants only would probably not be a good idea.

Carlos Gonzalez Legarda, MD · Answer

Your best option is make the lift and put the implants in the same surgery. This is the way for a best shape and lowest cost

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