Breast augmentation with lift or no lift? (Photos)

I'm 22 years old no kids and Im in the process of booking for a consultation to get my girls looking good. My question is will I need a breast lift with my breast augmentation or will I be fine with out the breast lift?

Doctor Answers 23

Breast augmentation/lift

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Thank you for your question and photographs.

I would recommend that you schedule a consultation with a board certified plastic surgeon to have an examination of your breasts done. At that point, the surgeon can recommend whether you need a breast lift, breast augmentation or both. From the photos you have posted, it seems as though a lift may be necessary, a breast augmentation with implants will add projection and volume but may not be sufficient to correct the sagging appearance. I think you would be more satisfied with a breast aug and lift. Best of luck.

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

Pittsburgh Plastic Surgeon
4.9 out of 5 stars 86 reviews


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You need a lift whether you add implants or not. Implants only add volume they do not lift the breasts to any great extent.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast lift

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Hi.  Upon reviewing your pictures I feel that you should definitely consider a breast lift with your augmentation.  Without a lift the implants will appear to sit much too high in your breasts and your breasts will appear to droop off of the implants.  A breast lift or mastopexy will reposition your breasts in the appropriate position directly over the implants.  Furthermore, the lift will allow the surgeon to correct the asymmetry that is present.   

Joseph R. Coscia, MD
Sacramento Plastic Surgeon
4.9 out of 5 stars 16 reviews

Breast lift needed for optimal result

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Thank you for your question.   From what I can see on your photo, an implant alone would not give you a good result.  You have significant ptosis (sagging).  A breast lift can improve the shape, size, and position of your breasts, but if you want upper pole fullness, then you will need to combine with an implant.  If you are planning on having children soon, you may wish to wait until after the children, as the pregnancy will likely stretch out your skin and cause more sagging.  If you are delaying childbirth for years, then keep in mind that after the kids you will probably need a revision lift/augmentation.  Good luck. 

Only breast lift

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You need  a breast lift only,without implant.Breast lifting is a procedure that is realised to lift and reshape breasts that sagged (ptosis) without the need of the implementation of a breast implant 

Philippe Spitalier, MD
France Plastic Surgeon

To lift or not to lift?

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This is one of the most common question in cosmetic breast surgery: To lift or not to lift? The answer depends upon whether the desired implant fill out the breast tissue and where the breasts naturally sit before augmentation. In your photos, your breasts are sitting low on the chest, there is no visible skin underneath the nipple/areola when viewed from the front, and you have an asymmetry between the sizes and position of the breasts. In other words, an augmentation without a lift will not correct the asymmetry and will leave the nipples sitting low on the breasts. The degree of lift may simply be a periareolar lift on the left but likely a circumvertical on the right (lollipop lift). 

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

Lift or no lift?

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As you head toward seeing your surgeon for consultation, keep in mind in your particular case that you have quite significant sag, especially on the right side.  There is no doubt that your result would be better with a full lift at the same time as the implants.  Since your breasts are heavy, or so they appear from the photos, a skin lift would not be as effective.  A vertical lift would give a better result and a longer lasting lift.  Still though, at age 22, a strong consideration is possible loss of the ability to breast feed with a breast lift.  Given that trade off you may decide to compromise with the result and get the volume and fill for the hollow with the implants. Then wait until after you have had children to get the lift.  This will be less of a comprise in clothes, but quite a bit of compromise without clothes.  As implants alone do not give significant lift.  I hope you find this information helpful.  

Thomas Hubbard, MD, FACS
Virginia Beach Plastic Surgeon
4.7 out of 5 stars 41 reviews

Breast augmentation with lift or without a lift

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You definitely need a breast lift. However, if you haven't had any pregnancies, you may want to wait until you do. Pregnancy and breastfeeding can drastically affect the shape and volume of your breasts. The changes can also be incredibly unpredictable. That said, if you wish to move forward with surgery, consider The Bellesoma method to reshape and re-position your breasts without the risks/complications and extra cost associated with breast implants. This current method can give you upper pole fullness without implants using your own tissues. I've attached a brief video to show you what can now be achieved using current breast lifting technology. No ugly vertical scars and no implants. I hope this helps. 

Best wishes and kind regards,

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Breast augmentation with lift or no lift? (Photos)

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You look like a great candidate for a Breast Lift with or without implants. Implants to give it more volume to the breast.

   What are the basic tips to know if I need a breast augmentation or breast lift? It all depends on the position of the nipple on the breast. The further down the nipple is in relation to the fold the more the chances are the patient needs a lift.

Choose a board certified plastic surgeon who has done a ton of Breast Lift and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon and choose one wisely. 

Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote possible. Please be mindful that the in person physical exam is the most important and could potentially alter your treatment plan.

   High profile are taller and narrower implants when compared to moderate profile implants of the same volume.The decision is usually based on the patient breast dimensions, amount of breast that the patient can contribute to the projection and I also factor the patients desires. I try my best to also respect the skin quality and elasticity in order to prevent future drooping due to unnecessarily heavy implants.

   over or under muscle doesn't dictate what size implant we can use.  The muscle coverage is helpful in very thin patients and seems to reduce capsular contracture according to some scientific studies. Under the breast tissue is the most natural feel and has a less chance of animation deformity when the pectoralis muscle contracts. In most instances only the top implant is covered by muscle and the reset of the implant ends up under the breast tissue.



Breast Augmentation with Breast Lift

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Thank you for your question.  In the absence of a physical exam and based solely upon the photos that you included with your request, it appears as though you would require a breast lift in order to correct the breast ptosis and asymmetry depicted in the photos.  Breast implants would afford you more projection and additional breast volume, but it would do little to correct the breast droop you appear to have.  I would recommend scheduling a consultation with a board-certified plastic surgeon to discuss your concerns, your cosmetic goals and the different options available to you.  I hope you find this helpful and I wish you the best!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.