Some patients come to my practice in Atlanta for breast enlargement because they have lost breast volume with age, weight fluctuations, or pregnancy. Often, they believe that replacing lost volume with a breast implant will also help with sagging or drooping, but this is not usually true. For most women with sagging breasts, a breast lift should be performed at the time of the breast augmentation surgery for optimal results.
I recommend this combination of procedures to women who are dissatisfied with the size, shape, and position of their breasts. If the breasts are drooping and the nipples are pointing downward, a breast augmentation alone will not create the desired effect. In fact, placing implants in breasts that are already sagging increases the pull on the already stretched breast skin, and may contribute to further sagging over time.
The breast lift removes excess skin, lifts the breast and nipple, and reshapes and firms the breast. If this procedure is done in conjunction with breast augmentation, the result is fuller, firmer breasts with a more youthful shape and projection.