Should I get a lift or small implants? (Photo)

Question

Hi! I love the natural look, I have inverted nipples so I’m told the lift will correct that. Just wondering if I should just do a lift or add in small implants make the boobs look more fuller? I love how my boobs look with a push up bra but dislike them without. I also want to highlight that I want them as natural as possible.

Alan Gonzalez, MD, FACS · Answer

Hello @nelllle, thank you for your question. With breast fat transfer you can achieve that the breast look fuller. By transferring fat to the breast, the patient can achieve a more harmonious look with a better ratio between the size of the areola and the shape of the breast. There is typically minimal scarring associated with this procedure. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

Christopher Pannucci, MD, MS · Answer

Hi nelllle,
Based on the photos, you don't need a lift--your nipple already looks appropriately positioned on the breast. A face to face exam with a qualified plastic surgeon would be helpful for you.
From the perspective of implants, an implant would definitely make the breast look more full...an anatomic implant will prioritize lower pole fullness and a small amount of upper pole volume (a "natural" look), versus a round implant which would add more upper pole fullness (a "done" look, potentially).
Please make sure you and your surgeon have a plan regarding the nipple inversion. Nipple inversion is usually from tight or tethered ducts, and a lift does not necessarily fix that issue.
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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, and they 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

James Lee, MD · Answer

Thank you for your question and submitting your photos. It does not appear that your breasts have "dropped" at all and I don't think you need a breast lift. If you look at the position of your nipple areola complex, it is well above the level of your breast inferior fold meaning you do not have breast ptosis (sagging) requiring any form of lift. Breast augmentation however will give you exactly what you describe in your question; fuller breast to give similar look/feel when you wear a push up bra. Implants come in various projections and so a breast augmentation can look as "natural" as you choose. Hope this helps. Be sure to consult with a board certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear nelllle,
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

Edward J. Ruane, Jr., MD · Answer

You don’t appear to need a breast lift, and so I would recommend implants to add fullness to your breasts. You could opt for low-plus or moderate profile implants to ensure a natural look. Hope this helps, and I recommend in-person consultation with a board-certified plastic surgeon to best achieve your goals.

Camille Cash, MD · Answer

If you are wanting more upper pole fullness you can consider a small implant to accomplish this.  It is difficult to tell for sure from the provided photos but it does not appear you need a lift.  The inverted nipples can be addressed during the breast augmentation.  See a board certified plastic surgeon near you for an evaluation.

Connie Hiers, MD, FACS · Answer

You do not need a lift. If you want fuller breasts, then get implants. the inverted nipple could be corrected at the same time if you want, but you may lose some sensation and may not be able to breast feed with that side.

Olivier Deigni, MD · Answer

Hello and thank you for your pictures and your questions. It is difficult to assess your breasts given that your arms are lifted. An in-person examination would provide more appropriate information. It is likely that you may benefit only from a small implant without a lift. I recommend that you see a plastic surgeon who specializes in breast aesthetics and can answer all your questions and devise a treatment plan that suits you. Best wishes!

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that your arms are elevated in each shot, which does not allow evaluation of sag. Also, a constricting garment may distort adjacent structures and obscures landmarks. Both nipples project outward in the photos.With your arms elevated, I do not appreciate any sag. The breasts are relatively symmetric and of moderate volume. There is moderate superior breast pole fullness (but again, your arms are up!). It may be best to visit a plastic surgeon for in person evaluation and discussion. Best wishes...

Should I get a lift or small implants? (Photo)

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