Should I consider a breast lift now or should I wait until I replace my first set of implants? (photos)

You appear borderline for a lift. In my experience, breast implants above muscle or half dual plane can fill out breasts to reduce sagging.

Breasts will look natural, stay a little low but would avoid lift scars.

An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations.

Thanks for your question. From your pictures, you seem to be a good candidate for just breast augmentation. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Thank you for your question. Your nipples are in a good position, and there is mild drooping. Breast augmentation alone can be sufficient but if you would like to address the mild drooping then a Benelli (donut) lift could help. A full anchor or lollipoop (vertical mastopexy) lift is often recommended if you have more noticeable breast drooping and want a significant lift and contour. Implants can help restore volume and contour without the need for a lift. However, the decision depends on your feelings about potential lift scars and whether you want to address volume, sagging, or both. Have a detailed discussion with your doctors to choose the best option.

Based on your photos, you don't need a lift--your nipple is well above the level of the fold underneath your breast and there is a good amount of breast tissue and skin visible beneath your nipple. A breast augmentation alone would be appropriate and spare you extra scars (though you may need/want a lift in the future).

Hi. While it is difficult to give you a definitive answer without a complete examination, it appears from your photos that you have glandular ptosis (the nipple is in a normal position but breast tissue sags below the breast fold). This can often be corrected by adjustment of the pectoralis muscle during the dissection without the need for a lift. I hope this helps.

Dear caitlw26,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I would recommend a breast augmentation with a lift (anchor pattern). This is the best way to properly address the skin laxity. This is the best way to properly redrape the skin, sculpt the underlying breast tissues. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon; ideally, this surgeon has extensive breast surgery experience and hopefully even has completed an Aesthetic fellowship accredited by the Aesthetic Society.

Your breasts don’t seem to be sagging enough to warrant a breast lift at this time. You may want to consider holding off until you get your implants replaced.

Thanks for your question! I would not recommend a lift at this point in your life. I do think it might be in your future, but it seems unnecessary right now. Good luck!

From your photographs, it certainly seems like you do not need a lift. Until your nipples are at or below your breast fold, you probably are not a candidate for a lift. You can feel lucky that you do not need all of that extra surgery!