Can I have a breast augmentation without a lift? (Photo)

Question

Hello, I'm 5'6 and weight 125 pounds. My bra size is 75 B right now. Do you think I can have a breast augmentation without breast lift? I considering small implants around 275 cc, not bigger than 300 cc, round shape. Thank you

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 then get to choose what looks right for them. 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

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on these photos, you seem to be a good candidate for breast augmentation without the need for a lift.

Albert Ko, MD · Answer

Hi there, thanks for your question! I think you can achieve a nice looking round breast using a silicone high profile implant. However, you would have to use a large implant in order to fill out your breast to achieve a round shape. I recommend a consult with a plastic surgeon to review your goals and discuss the best options! Thanks!

Ugur Horoz, MD · Answer

hellonormally for you the operation can be planned as only augmentation with implant but for bigger than your pointed size. About your operation with your size expectation better to plan the operation with lifting with a round implant. To achieve the have long time results which can get you happier.

Daniel Barrett, MD · Answer

Dear MyBodyShape,
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

Christopher J. Hussussian, MD · Answer

Hello,
You could definitely proceed with having an aug without a lift if you wanted. I think a better question would be what type of results are you hoping for? A lift may be necessary to achieve the look that you are seeking, but we can't tell without knowing. 
If you were a patient coming in without any expectations I would personally suggest a mastopexy/aug. 
Christopher J. Hussussian, MD

Camille Cash, MD · Answer

From your photos it is possible to have an augmentation but you may still have breasts that sit a little low.  If you are wanting a perkier look you may need to consider a conservative lift.  See a board certified plastic surgeon near you for a consultation to discuss your goals and learn more about your options.

Rhett N. Willis, Jr., MD · Answer

You might need a small lift, but it partially depends on the size of the implant that you choose. I would caution about going very large just to avoid a lift, as patients sometimes regret going larger than they originally desired. Talk with your plastic surgeon about their technique to help raise the nipple and your lift options. Hope this helps!

Connie Hiers, MD, FACS · Answer

You can have just an augmentation with implants, but you will still have some sagging and low sitting breasts.  You would do better with a lift with your augmentation.

Garrett A. Wirth, MD, MS, FACS · Answer

A full consultation would be necessary to know for sure.  It appears that you could do well for several years with a lift alone.  You may need a slightly larger and slightly more projected implant to fill the chest volume especially if there is some laxity to your skin.  I recommend you work with a Board Certified Plastic Surgeon.

Can I have a breast augmentation without a lift? (Photo)

Answers (12)

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