Can I get a BA without a lift? (photos)
Doctor Answers 14
BA Without A Lift
Thank you for your question and photos. As others have stated, you do not lose the option to consider a lift in the future if you wish to pursue only augmentation for now. A high profile implant can create a slightly lifted look however when the areolas have descended to or below the level of the crease, it may not be possible to avoid a sagging result. There are limitations to what this approach can achieve and I recommend that you have a frank discussion about realistic expectations with your Plastic Surgeon. I advise you to proceed with the plan and surgeon that you are most comfortable with.
All the best
Breast augmentation without a lift can give you good results
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Breast augmentation and lift
In these cases I generally recommend to do the implants first and then consider the lift in the future after you finish with pregnancies and breastfeeding.
As always it's best to be healthy, no smoking, and make sure any health care concern and you have are managed by your primary care doctor.Best to you
Do I really Need a Breast Lift in addition to the Implant?
As a principal breast implant increase the size of the breast and then slowly pull it down with time. Any Kudting they cause is very temporary. A Breast Lift or Mastopexy actually lifts and repositions the down looking nipple complex into a forward looking position on the breast.
If you are going to be happy with larger but still sagging breasts there is no reason to lift the breasts at the time of augmentation. It will give you a chance to see what you look like and have it done later. But you need to be realistic about it and realize doing a Breat Augmentation with a Lift, especially since your breasts are asymmetric, would probably give you a much better result than only an augmentation.
Peyer Aldea MD
Lift and Augmentation
Lift or not
Lift or not
Based solely on your photos, since your nipple position is in fairly good relationship to your breast fold, it appears that placing an implant alone without a lift will give you the volume and fill up the breast and give some degree of "lift" to the nipple position.
However, since you have laxity and skin excess of the lower half of the breast and the breast tissue sags a little below the fold, after an augmentation their will likely still be that issue with the breast tissue and the implant sagging below the fold and the entire breast looking like it sits low without much upper pole fullness and cleavage, unless in a bra.
This is a natural look for a lot of people, so if you want your breasts to look like they would if they just naturally had more breast tissue (volume), then this may be the way you should go.
However, if you want a "perky" appearing breast that does not look like it says down below the fold and has upper fullness, then some degree of lift is probably the best solution. The trade-off, or course, is for additional scars.
In your case, you are somewhat borderline. It would not be unreasonable to allow your surgeon to decide on the lift at the time of surgery,once he/she gets the implants in, or to just do the augmentation and wait to see how you like the result and get a lift later if needed.
My gut feeling is that you will want the look of both the implant and the lift better than just the implant so, again based only on these photos, I would lean towards doing both at the initial surgery if you are willing to accept the scars involved with the lift (which would likely be the "lollipop."
Go with a board certified plastic surgeon experienced in these procedures and with whom you feel comfortable and confident.
Implant with Lift?
Generally, when I look at whether a patient needs a lift I look at several factors. I will share what I think are the three most significant. 1) Whether I can see white under the nipple areola complex when looking at a patient straight-on, and/or; 2) The degree to which the lower-most part of the breast hangs down past the patients natural breast crease (2 cm being the cut-off), and/or; 3) The distance of the nipple from the mid-clavicle or sternal notch with normal being between 21-23 cm (for most women). With these questions in mind, it would be difficult to tell whether you require a lift without appropriate measurements. From the photos however, I would guess that your nipple to sternal notch distance is more than 23 cm and that the lowermost part of the breast is more than 2 cm from your natural breast crease. If that is the case, you would need a lift along with (or after) the placement of the implants. Otherwise, the end of the breast will 'snoopy-nose' off the end of the newly augmented breast mound, resulting in an unaesthetic breast shape.
Hope that helps! Best of luck.
Jeffrey C. Dawes MD, FRCSC