Breast Augmentation: Cost, Reviews, Photos

Breast Lift with Breast Augmentation

If you were to have an implant without a breast lift your shape would be unsatisfactory.

An above muscle implant would likely make you droopier and a submuscular implant would create a “snoopy dog” appeance which means that the nipple and breast gland would not be centered in the middle of the implant.

You may not need an implant at all with a lift if you are happy with your breast volume, but have a good discussion with your plastic surgeon. (Mary Lee Peters, MD, Seattle Plastic Surgeon)

Your breasts have a significant amount of sagging. If you would like to have breast implants, a lift is also needed.

Lift sagging breasts image

I have treated many African American patients without having keloid scars develop, although there is always a small risk of this occurring.(Larry Fan, MD, San Francisco Plastic Surgeon)

A breast lift is required

The breast implant has to be centered close to the nipple. Yours are low and the breast mound would be much to low. i would advise against breast implants only. (Miguel Delgado, MD, San Francisco Plastic Surgeon)

You definitely need a lift in addition to implants. I would, unfortunately, recommend the anchor lift. I’m sure others will recommend the vertical (lollipop) lift, but I think you are too droopy for that type of lift. Scarring is always an issue, however not all African Americans scar poorly. (Brian Klink, MD, Vacaville Plastic Surgeon)

Breast Lift or Not?

Lift sagging breasts images

Your photos show a significant amount of breast ptosis. Just placing in an implant without a lift will create more droopy and un-natural looking breasts. You will have the “rock-in-a-sock” look. They will be larger but they would hang even more. Your breasts already have a significant amount of volume and therefore, I would not recommend placing in an implant.

A full breast lift with the longer scars (anchor scar) would give you the most lift and also allow for a more natural reshaping of the breasts. Later, after the breasts have healed, if you feel you would want them larger, then I would place in implants. This secondary step will also allow an opportunity for more fine tuning of the breast shape. (Steven Svehlak, MD)

Implants without a breast lift

Lift sagging breasts photos before and after

The heaviness of your breasts and your low nipple position create a very unfavorable situation if you only have implants placed. I would recommend a breast lift (probably a inverted T shaped scar) with or without implants, depending on what you are looking for in terms of size.

There are ways to help incisions heal better and minimize scars, however any surgical procedure designed to dramatically change the shape of your breasts will have scars assoicated with it – it’s one of those trade-offs that you have to be comfortable with.

If you are looking to improve the shape and size of your breasts in swimming suits and clothing, it’s a great option. If you can’t live with scars or truly form keloids, you should consult with a plastic surgeon and discuss your expectations so you can better make that decision. (Michelle Spring, MD, Missoula Plastic Surgeon)

Lift sagging breasts pictures

From the third photo of the result desired it appears to me the person had a large implant + donut lift. In you I feel a donut most likely would not lift enough even with a VERY large implant, like 750 or more. But in the end it is your decision. (Darryl J. Blinski, MD, Miami Plastic Surgeon)

You are not a candidate for implants without a lift!

As you are hearing, you should not have implants alone unless you want a larger and more droopy looking breast that will only result in disappointment and more surgery down the road.

Lift sagging breasts with breast augmentation

This is often not what patients want to hear when they have had generous breast volume and a nice breast shape at a young age only to see their breasts stretch and fall. You still have lots of breast volume but the shape can only be improved with a breast lift.

Combining the lift with an implant will allow you to achieve a larger final breast size with the additional cost and risks of the combined procedure. There are significant trade-offs associated with an isolated breast lift vs. an augmentation mastopexy (implant + breast lift) that need to be discussed with your PS. Each person is unique so each discussion and final plan will also be unique. I would also recommend a standard breast lift that involves an “inverted T” or “anchor” shaped scar as your only option for a breast lift.

Lift sagging breasts with breast lift or not

I find that when my patients understand their options and their limitations, they can confidently make a decision about whether to have cosmetic breast surgery. Every patient deserves good advice even when they are hoping to avoid more extensive surgery. (Mathew C. Mosher, MD, Vancouver Plastic Surgeon)

Your photos show significant ptosis and I believe a lift would be needed to give your the best result. You may not even need an implant due to the size of your breasts. (Donald Nunn, MD, Atlanta Plastic Surgeon)

You will probably need a breast lift

Lift sagging breasts best picture after

From the pictures that you submitted, I see a significant amount of drooping of your breasts. I do recommend a breast lift if you are planning to have implants. There are ways that can help prevent or minimize the scarring. See a board certified plastic surgeon for your surgery. (James Tang, MD, Houston Plastic Surgeon)

Implant vs implant/lift

You have so much breast tissue and it hangs low enough that any option open to you has significant downside. If you put the implant under the muscle you will get a snoopy nose deformity. On top of the muscle, a rock in a sock deformity. If you get a lift as well be prepared for additional revisional surgery to keep your tissue centered over the implant to avoid a long breast deformity. Get more than one opinion and beware the surgeon who trivializes the risks! (Marcel Daniels, MD, Long Beach Plastic Surgeon)