Do I need a lift as well as an implant? (Photo)

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

Hello @PrettieP!
It seems like we have some sagging and the areola needs to be moved to the essential level by making an incision around it. When the desired level is achieved, a vertical incision is needed to remove the sagginess on the sides and an incision from below for the excess skin under the breast. Thus, the breast will reach the level it should be, by placing a prosthesis on the muscle, we will achieve the upper fullness and vitality of the breast. Scars usually heal well, but this of course also depends on your body's response to the healing. On our end, we check the scars with our follow-ups after the surgery and we try to provide the best possible recovery. Lastly, patients use a sports bra for 6 weeks after surgery.
Hope this helps!
Dr. Bora Ok

Your breasts are too low on the chest wall and you will need a lift. The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

Dear PrettieP,
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

You actually need a lift. Some surgeons try to avoid doing a lift by going with larger implants, but this just causes more sagging in the long run. I would do the lift, but I would do the vertical lift and not anchor.

Based on the posted photos you are border line lift. I might offer 450 cc HP implants with only donut lift. Fee either $6,000/$8,000. Best to virtual consult with....

Hello and thanks for your question. According to your photos, you have sagging breast tissue which requires breast uplift procedure to have the best result. Breast uplift procedure is the only option to fix the loose skin on the breast. In addition to that if you are concerning about your breast size, the procedure can be combined with the breast implant procedure. Please kindly note that the assessment has been done from your pictures. In-person consultation always gives the best idea about the treatment plan. Your treatment plan most likely have to be with the breast uplift procedure whether together will be implants or not.