Many women wonder if a breast lift will be necessary with their breast augmentation, and one question that I regularly hear is...
"Do I really need a lift or is my plastic surgeon just trying to up-sale me?"
In my experience, great surgeons will never try to sell you on procedures that you don't really need. Great plastic surgeons simply want a beautiful outcome, and they will only do the minimum amount of operating required to get you the look you desire.
After all, getting an extra few thousand dollars out of a client isn’t worth risking their reputation over.
Nevertheless, if you are concerned about this, then maybe I can give some insight into lifts and whether or not you might be a candidate for one...
What If I Choose to Skip the Breast Lift?
Lets talk about the the logistics. Plastic surgeons are going to look at the measurements between your clavicle and areola, and then your areola to your mammary fold (fold under your breast).
If these measurements don’t add up, then only getting breast implants won’t solve your drooping breasts. (Although some women prefer the drooping look, and that's totally fine!) If you choose to go the route of a lift, there are a few different types of lifts available to assist in reaching your desired look.
What is a Donut Breast Lift?
The Donut Lift, also known as the Bellini, is a minimal brast lift. It only requires an incision around the areola, leaving very little scarring. That means that it won’t correct much sagging (ptosis). This procedure is mostly meant to slightly adjust nipple and areola placement.
If you have extra skin outside of your areola that is undesired, this is probably not the lift for you.
Lollipop Breast Lift
That’s a pleasant name, right? The original incision for this procedure looks a lot like a triangle. Once sutured, you’re looking at the outline of a lollipop. Removing some breast skin and moving the areola, this lift can make some impressive progress on a sagging breast.
Women who have this type of breast lift are going to have not only an areola scar, but also a vertical scar. The vertical scar will run from their areola, down to the under crease of their breast. (I had this type of lift with my breast reduction when I was 18).
Anchor Breast Lift
So take the image you have of a lollipop scar and add a smiley face to the bottom of it. This breast lift has the most drastic transformation potential. After measuring, your plastic surgeon might recommend an Anchor Breast Lift to help you achieve your goals. This breast lift will remove the most skin from your breast and provide the greatest support for an implant.
It isn’t uncommon for a mom or a woman with much weight loss to be looking at a breast augmentation with an Anchor breast lift. One woman that you may know with this incision is… ME! If you’re interested in how I treated my scarring, check out this article.
Scarring after a Breast Lift
If you’re feeling concerned about scarring, be sure to take into consideration the long term effect of your procedure.
Properly treated scars will fade.
Many of them will disappear completely under the fold of your new, full breasts. But if you short cut your plastic surgeon’s suggestions by attempting to fill your tissue with only an implant, you might be looking at returning to your plastic surgeon in just a few months.
So overall, if you’re a little down, be open to a little lift. :-)
Thoughts from Dr. Glenn DavisThis is a very common question, and brings up an important point. When we're discussing ideal breast aesthetics, two of the main factors to consider are size and shape of the breast.
We can add to the volume of the breast with an implant, but the best way to ensure the ideal shape may be with a breast lift in combination with implants. The way that we determine that is whether your nipple is above or below the fold of the breast, and there are several different breast lift techniques that we would discuss to make sure that you have the best result possible.