Breast Lift with Implants

For most patients with breast ptosis (sagging) and a larger frame like 34DD, silicone gel implants tend to look and feel more natural than saline. Saline implants are essentially a bag filled with saltwater; they can ripple or show scalloping at the edges, which becomes more noticeable when the breast tissue is thin or stretched, as it often is after volume loss. Silicone gel has more cohesive, tissue-like consistency, so it drapes better and is less prone to visible rippling.

That said, implants alone address volume, not position. If the nipple sits below the breast fold, or the tissue is significantly deflated, a lift is usually needed to reposition the breast on the chest wall and re-tighten the envelope. Adding an implant without correcting ptosis when it's needed can leave you with a fuller but still droopy breast.

An exam in person, with your specific tissue quality and chest wall anatomy, will determine whether you need a lift alone, an augmentation alone, or both together.