Breast augmentation: can I get away without a lift? (photos)

Question

I have been told I am boarderline needing a lift. If I can get away with out a lift, the extra scarring, the extra price. I would be so happy!! I have had 2 consultations waiting on a 3rd and I really don’t want to have to get a lift although I will if I need too. I need advice from other Drs and what they think, Please and thank you

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for dual plane breast augmentation without the need for a lift. I hope this helps.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear leila_skye01,
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

Connie Hiers, MD, FACS · Answer

You would probably do best with the peri-areolar lift.  If you choose only the augmentation, you may have some breast tissue that still sags.

David S. Chang, MD · Answer

It's difficult to tell from the one photo what would be best.  I would want to hear your goals for surgery, but I think an implant would probably be sufficient to improve the fullness and appearance of your breasts.  I would probably agree with the other surgeons with whom you have consulted.  
A lift may or may not be necessary.

Gokhan Temiz, MD - Account Suspended · Answer

Hello and thanks for your question. In the pictures that you sent, it can be clearly seen that you have a sagging skin tissue on your breast. The breast uplift operation is a must for your case to achieve the good result.

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