Will I regret not getting a lift along with the implants if it was recommended? (photos)

Since you do not want to undergo a lift, I would recommend a "dual plane" breast augmentation, which will allow for a normal breast appearance post-operatively without requiring a lift (though the breasts may appear lower on your chest wall than you may think is ideal).  Implant size and style should be based upon your chest wall dimensions and your desired post-operative size; I would not recommend getting a larger implant that you desire.  While larger implants will cause the nipple/areolar complexes to move a little higher on the augmented breasts,  it is not worth the trade-off of being unhappy with your post-operative size.After undergoing a "dual plane" augmentation, no patient "needs" a lift.  Once the implants have settled, you can then look in the mirror and decide if a higher nipple/areolar/breast position is worth the added cost and scarring.  A crescent mastopexy, which can raise your nipple/areolar complexes a short distance and even out your present asymmetry, would result in a scar (usually very thin) along the upper aspect of the areolae.  It can be performed as an office procedure under local anesthesia  and has a minimal recovery.Best wishes.

Hi, thank you for sharing your question. 
You are a great
candidate for breast augmentation with a lift. While the best advice is
given after an in person consultation, your nipple position requires a
lift in order to return to its natural position. Implants
alone will give you volume and provide upper pole
fullness, but your breasts would still appear to sag. The specific implant size and shape should be
determined together with your plastic surgeon after a formal evaluation
of your breast tissues. 
Discuss this with your board certified plastic surgeon. I hope this helps. Best of luck!

Thank you for your question.  I do agree that for the best results a breast lift is needed.  You will still have a droop that I do not believe will be taken care of by just adding an implant.  When you are able to I would suggest an in person evaluation with a Board Certified Plastic Surgeon .  Best of luck to you. 

Hello, thank you for your question. You may benefit from a breast augmentation with a lit, a breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape. 

 I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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

Looking at your pictures, it appears your nipple position is adequate, which is an important consideration when determining whether or not you'll need a lift. I think an implant alone should work well, and I agree that a slightly larger implant will "lift" the breast slightly. However, I wouldn't err on getting significantly larger implants if you do not want this.A dual plane approach can be performed to help position the implant appropriately, however they may sit a little lower on the chest to avoid a "waterfall" appearance (where the breast tissue flows over the implant like water off a waterfall).In the end, if you decide to go with implants alone and you aren't happy with the results, a lift can be performed in the future. You should discuss this scenario with your plastic surgeon and see what that would imply financially.I hope this helps. Good luck!

Your breasts are too low on the chest wall to undergo augmentation alone.  Augmentation will result in large low breasts and likely the inframammary fold will have to be released resulting in bottoming out or double bubble deformity.  You would benefit from a lift using The Bellesoma Method.  This 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.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Most of the time I recommend a two-stage procedure. See what your priority is: volume to fill up your bra or be lifted and nipples higher without a bra. Most of my patients care about the volume of the breasts, to look nice in a bra or bathing suit. However when you place implants, specially in a dual plane, it also gives an illusion of a lift. Then when the implants settle after about 3 months see how you like the result.I would not put larger implants to lift. It usually have the opposite effect because of their weight. 

Hello and thanks for sharing your question on this platform. Having looked at your pictures you would indeed be someone I would recommend and uplift + implants to. Your concerns about additional cost and scarring sound familiar. This is something I often hear during my consultations, so you share this concern with many women. In someone like yourself you will have to ask yourself the following questions: do you want to look ok in a bra? Or do you want your breasts to look nice when you are undressed? If you answer yes to the first question and no to the second you could consider going for implants first, see how you like them. A larger implant won't miraculously lift your nipples to where the ideally should be. Do bear in mind that for an optimal aesthetic outcome you would eventually benefit most from an uplift. Hope this is helpful. All the best.

Dear Tgreen15,
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