I Want Silicone Implants Without a Lift, is my Ptosis Bad Enough to Not Recommend Implants Without a Lift? (photo)

Q: I want silicone implants without a lift, is my ptosis bad enough to not recommend implants without a lift?

To lift or not to lift, that is the question . . . Forgive the pun!  I am asked this question almost daily – your issue is very common.  I think you would have the best cosmetic result with a combined breast lift and augmentation, but the choice is yours.  You do have breast ptosis (sagging), so the question is – are you OK with that?  You should understand that breast implants will NOT correct sagging.  I think a lot of women come to my office thinking that implants will raise the nipple but this is not so.  After implants alone, your breasts will be fuller, but the nipple will remain in the same position.  You have the option to start out with breast augmentation alone.  If you are satisfied, great.  If not , you can always opt for a mastopexy (breast lift) later.