July 8, 2023

Breast Lift Vs. Implants: What’s the Difference?

A common misconception among breast augmentation patients is that their implants will “fill in” any loose skin and give their breasts a fuller, perkier appearance. This can be true in cases where a patient is experiencing minor sagging, but most of the time, the added weight will only pull the breasts down further and exacerbate sagging. What most of those women need, instead, is a breast lift , either with or without implants.

This guide will dive into the “breast lift vs. implants” debate to help you understand the differences between the two and know when one may be more appropriate than the other.

WARNING:

This feature contains nudity. Please click OK to confirm you are at least 18 years of age and are not offended by such material.

Breast Lift Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Before & After Breast Lift
Breast Lift Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Before & After Breast Lift

What Is a Breast Lift?

A breast lift, formally called a mastopexy, is a breast enhancement procedure that “lifts” the positioning of the breasts on the chest wall. It addresses the sagging and excess skin caused by pregnancy, nursing, weight loss, and the effects of gravity as we get older.

During the procedure, loose, stretched skin is tightened and trimmed, the breast tissue is consolidated and reshaped, and the breasts and nipples are raised to a more youthful positioning. In some cases, women with enlarged areolas may also have thesm reduced to be more proportionate to the breasts.

What Can’t a Breast Lift Do?

A breast lift cannot add volume to the breasts. Many women even find that after their mastopexy procedure, their breasts are slightly smaller now that the loose skin no longer takes up extra space in their bra cups.

Although a breast lift reshapes the tissue of the breasts to create a perkier result, it still adheres to the natural teardrop slope of the breasts. Women seeking a rounded breast shape with upper pole fullness (cleavage) will likely need breast augmentation to achieve their desired look.

WARNING:

This feature contains nudity. Please click OK to confirm you are at least 18 years of age and are not offended by such material.

Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Before & After Breast Augmentation
Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Before & After Breast Augmentation
Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Before & After Breast Augmentation

What Is a Breast Augmentation?

Breast augmentation cosmetically enhances the size, shape, and forward projection of the breasts in a fully customizable procedure. Our patients can choose between two breast augmentation options: saline or silicone implants , or augmentation using the patient’s own unwanted body fat.

Our team of board-certified plastic surgeons will work closely with you to design your ideal breasts, keeping in mind your unique anatomy, activity and fitness levels, and whether you are done growing your family.

Our breast augmentation patients enjoy extensive flexibility when choosing their implants’:

  • Size (these can differ between breasts to correct existing asymmetry)
  • Filler material (sterile saline solution or silicone gel)
  • Projection (low, medium, or high)
  • Shape (round or anatomical/teardrop)
  • Surface (smooth or textured)
  • Placement (above or behind the chest wall)

What Can’t Breast Augmentation Do?

Not every cosmetic breast concern can be addressed with breast augmentation alone. Why might a patient want to (also) choose a breast lift? No implants can correct sagging and skin laxity—and may only add to the problem! Fortunately, women don’t have to decide between one procedure or the other.

Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Breast Augmentation With Breast Lift
Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Breast Augmentation With Breast Lift
Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Breast Augmentation With Breast Lift
Breast Augmentation Before & After Photo | Atlanta, GA | Plastic Surgery Center of the South
Breast Augmentation With Breast Lift

Breast Augmentation Vs. Lift: Why Not Both?

As you can see in the above before and after images, a combined breast enhancement procedure, such as a breast augmentation with a breast lift, can achieve the most comprehensive cosmetic improvements.

In a combination procedure, the plastic surgeon will tighten loose skin and remove excess tissue. They will raise and reshape the breasts, reposition the nipples, and reduce the areolas (if necessary). The surgeon will further enhance the breasts by inserting the implants—or autologous fat that has been harvested and purified—to create the desired volume and shape.

Why should you combine breast enhancement procedures? Our patients benefit from having multiple cosmetic concerns addressed with one surgery and recovery period, making it a much more cost and time-effective option.

However, not every patient needs both procedures to achieve their aesthetic goals. When might you choose a breast lift on its own? Mastopexy surgery is great for correcting:

  • Sagging breasts
  • Downturned nipples
  • Enlarged areolas
  • Stretched, loose skin

What about a breast augmentation? Performed on its own, this procedure can address the following:

  • “Deflated” breasts after breastfeeding
  • Asymmetry or misshapenness
  • Breasts that are not proportionate to your frame
  • A loss of fullness in the upper part of the breasts (i.e., cleavage)

Our related blog post can help you determine which breast enhancement surgery is right for you. In addition, you may enjoy viewing our before and after photo galleries to see our real patient results.

Special Considerations

As pregnancy and nursing can significantly impact the appearance of your breasts and undo the cosmetic benefits of surgery, we may advise you to wait until after your family is complete before scheduling any type of breast enhancement procedure.

Please note that plastic surgery on the breasts will not have any bearing on your fertility. However, in rare cases, breast surgery can affect your ability to produce milk and breastfeed. Planning ahead—if having children further down the line is a possibility—with your surgeon can help you enjoy the best surgical and lifestyle outcomes.

If you are unhappy with the look and feel of your breasts, we can help you achieve the shapely, pert figure you want. Please request a consultation  or call us at  (770) 421-1242 to get started.

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In the high-stakes professional environments of Atlanta—from the boardrooms of Buckhead to the innovative hubs of Midtown—presence is often defined by confidence. For many women, physical proportion plays a significant role in how they carry themselves and how their professional attire fits. However, the modern approach to breast augmentation has shifted away from the pursuit of maximum volume. Today, the focus is on "proportional harmony"—a strategic alignment between your surgical goals and your unique physical frames. At Plastic Surgery Center of The South, we view breast augmentation not as a standalone procedure, but as a corrective and enhancing measure designed to bring the body into balance. Understanding that "size" is a subjective metric is the first step toward achieving a result that looks natural, feels comfortable, and enhances your professional silhouette. Beyond the CC: Understanding the Mechanics of Proportion Many patients begin their journey by researching a specific volume, often measured in cubic centimeters (CCs). However, focusing solely on a numeric value is a common pitfall. A "300cc" implant will look radically different on a tall, athletic frame than it will on a petite, narrow-shouldered individual. As your dedicated partner in aesthetic health, our approach prioritizes your specific anatomy. We evaluate several critical factors: Chest Wall Width: The diameter of your breast tissue and the width of your ribcage dictate the "footprint" of the implant. An implant that is too wide can lead to unnatural contours, while one that is too narrow may not provide the desired cleavage. Existing Breast Tissue: The amount of natural tissue available to cover the implant affects the final aesthetic. This is a critical consideration when discussing the nuances of silicone vs saline options. Torso Length: A longer torso can often accommodate more projection without appearing "top-heavy," whereas a shorter torso requires a more subtle profile to maintain a balanced midsection. Selecting the Right Catalyst: Silicone vs. Saline The choice of material is often a matter of tactile preference and long-term maintenance. Both silicone and saline implants have distinct characteristics that contribute to the overall proportion and feel of the breast. Silicone Gel Implants - Silicone is frequently the preferred choice for patients seeking the most natural mimicry of human fat and breast tissue. Modern "form-stable" or cohesive gel implants maintain their shape exceptionally well, which is vital for maintaining a consistent profile under professional garments. They are particularly beneficial for patients with less natural breast tissue, as they are less prone to "rippling." Saline Implants - Saline implants are filled with sterile saltwater and offer the benefit of a smaller incision, as they are filled after insertion. While they can feel slightly firmer than silicone, they allow for precise, intraoperative adjustments to volume, ensuring that symmetry is achieved to the milliliter. During your consultation at Plastic Surgery Center of The South, we provide a comprehensive breast augmentation size guide through physical "sizers" and expert assessment, helping you feel the weight and see the projection of each option before your procedure. The Professional Silhouette: Symmetry and Clothing Fit For many of our patients in the business community, the primary motivation for surgery is the "proportional fit" of professional attire. When the bust is out of proportion with the hips and shoulders, blazers, sheath dresses, and tailored button-downs rarely fit off-the-rack. 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