I would like an increase in breast volume without a lift to maintain swinginess, what would you suggest? (Photos)

Based on your photos, you are likely not going to be pleased by the results of getting implants alone without a lifting procedure. It will best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello,Thank you for your question and photos.  Based on your photos, it appears you need a lift.  Breast implants alone may not give you the desired appearance you are looking for.  You may end up with a "Snoopy dog" or waterfall deformity.  This is where the breast tissue hangs from the bottom of the implant and the nipple points downward, which results in an unnatural look.It's best to book a consultation with a board certified plastic surgeon for an in-person evaluation and to discuss your options.All the best.

Hello and thank you for your question and sharing your photos. You would need a lift and breast augmentation using implant alone is not sufficient. I
would seek consultation with a board-certified plastic surgeon for a full
evaluation and advice.
Best
wishes and good luck,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Although only skin is typically removed in a breast lift procedure
that is a few grams, the breasts will appear smaller. This is due to the
fact that the same mass is wrapped in a smaller soft tissue envelope
and increases the density. The less dense the breast and the more the
surface area of skin that is removed, the larger the apparent reduction
in size. Fat transfer or a small breast implant can be used to achieve
upper pole fullness if necessary.
The vertical or lollipop lift can be used for severe droopiness. This lift involves a vertical and a periareolar incision.  Consult with a board certified plastic surgeon to determine if this is the right lift for you to achieve your ultimate goals.

Your breasts are too low to simply add volume.  You will definitely need a lift.  Many women do not like lifts because of the vertical scars associated with the traditional techniques.  For that reason, an alternative was developed called The Bellesoma Method.  This technique will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Unfortunately, this procedure cannot be done for $6,000.  The cost is approximately $12,000.Best Wishes,Gary Horndeski, M.D.

Thank you for your question and photos. If you just had a breast augmentation, I do not think you would be happy with the outcome. I would suggest a breast lift, or a breast augmentation with a breast lift. Be sure to have an in person consult with a board certified plastic surgeon.

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.  Cost varies based on geographic region and surgeon expertise.  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.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Implants without a lift would look terrible. Either do a lift with implants or without, but either way you'll need a lift. $6000 is not enough for an experienced, American Board of Plastic Surgery certified surgeon. 

Based on your photos- it will require a mastopexy/breast lift to achieve the best result. In the right hands- you can have perky, more youthful breasts. You may find some Surgeons who would put implants alone- but most experienced Board Certified PSs will not put implants without a lift in this case. It will def be more than 6k- especially in the hands of an experienced and skilled Surgeon, but it's all worth it at the end. If money is an issue - then start saving and find the best Surgeon to do your surgery in the future

There are certainly surgeons who will just put implants in. However you really do need a lift. If you just get implants the breasts will never be right and look worse than they do now. Then you will spend even more money trying to fix them. If you don’t want a lift then you should do nothing at all.