Should I get breast lift with implant or just a breast implant?

Your asymmetry is quite severe so implants alone will not give you a great result. You should consider a lollipop lift as the base of any operation and then consider implants if you want to increase the volume. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!  

If you are looking for better symmetry and perkiness, then you would do best with a breast lift.  I would also use your own breast tissue to "auto-augment" your breasts with the lift.  This will help give your upper breast poles some fullness. If you'd like larger breasts, then you could also add breast implants. Based upon your photos, it doesn't appear that you really need implants, but of course the choice to go larger is yours. Definitely meet with a board certified (ASPS Member) plastic surgeon to find out more. Thanks for sharing!

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 a small 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.  This can also be designed to help improve your breast asymmetry.  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.   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
 

Hello and thank you for your question and sharing your photos. I believe you will need a lift. Implant alone will not be sufficient in your case given the degree of ptosis. 
Best
wishes and good luck,
Pejman
Aflaki, M.D.

At size 32 DD, you do not need implants.  However, you do need a breast lift.  Many women do not like breast lifts because of the vertical scars associated with the traditional techniques.  For that reason, an alternative was developed called 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.  This will give you the perky breasts you desire without the draw backs of the vertical scars.Best Wishes,Gary Horndeski, M.D.

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.  Because your left breast appears smaller than the right, you might consider reduction which includes a lift on the left and only a lift for the right.In general, scarring is a product of genetics. Some people are good
scar formers, and others are poor scar formers. The scar will fade over a
year’s time.  
Silicone sheets, Mederma, and Biocorneum are reasonable and popular options. There is no one cream that is better than another. I recommend that the scar therapy begin after the scars have healed and there are no open areas, which usually takes 4 to 6 weeks.Consult with a board certified plastic surgeon to determine if this is the right lift for you to achieve your ultimate goals.

Dear Good6779,
based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolarwon't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thatsbeing brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for the question and good quality photographs.   Based on your photographs, I think that you will do well with breast lifting plus/minus augmentation surgery.  You will do well with breast augmentation surgery performed alone. 
  Generally speaking, patients undergoing the breast augmentation/lifting combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery. 
Also, patients undergoing the combination breast augmentation/lifting surgery should understand that there are limits as to how large of an outcome can be achieved, given that breast lifting surgery does involve breast skin removal. On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. 
Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications. 
In my practice, "tailor tacking" is an important part of the mastopexy and mastopexy/augmentation procedure. It involves TEMPORARY  closure of the skin (for example with temporary skin staples)  to double check the amount of skin that is to be excised during the procedure. This maneuver is done to ensure that enough skin, but not too much, is removed. On the one hand, it is important that enough skin be removed to achieve the aesthetic breast lifting results the patient is looking for; on the other hand, is important not to move too much skin creating tension upon closure and potential wide scars and/or implant exposure.
 
 My best advice: seek consultation with a few board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully as well.   Best to use visual aids such as goal photographs, not a discussion of cup sizes, during the communication process.  
Working together you will come up with the best plan to  achieve an outcome that you will be pleased with.  Best wishes. 
 

Hello and thank you for your question and sharing pictures. It is also very helpful that you shared your 'desire' look! a special thanks for that :)
Based on your pictures and your desired look, I would say you should have breast uplift with implants. Breast lift would help with sagging and asymmetry. But it is known that breast lift result in reduce in bra size! Lift with implants would give you the look that you desire.
I hope this helps. Best of luck!
Op.Dr. Gurel

Thank you for the question and photos and from them you would benefit from a lift with or without implants.   So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results Dr Corbin