If sagging is mild, breast implants may be sufficient to provide the illusion of some lifting. However, implants do not actually lift the breasts, as they have no built-in “anti-gravity” device. If you have a moderate to severe degree of sagging, placing very large implants (without performing a breast lift) will add much greater weight to the breasts and may actually worsen the sagging.
An anchor lift involves extended horizontal incisions at or near the folds beneath the breasts, in addition to the usual incisions around the nipple-areolae and vertically along the lower breasts. These incisions, which form an anchor-shaped pattern, are used by many surgeons. Dr. Friedman generally does not use an anchor incision to perform breast augmentation with lift.
In most women, Dr. Friedman performs breast augmentation and breast lift simultaneously. However, in women with severe sagging of the breasts, Dr. Friedman may recommend breast lift alone, perhaps followed at a later date by breast augmentation. In this circumstance, he believes that the results of separately performed procedures may be more predictable and reliable than simultaneous procedures.
Every woman scars differently. However, the scars around the nipple-areolae and along the upper portion of the vertical incision are generally fine line and relatively inconspicuous. The lower part of the vertical scar (hidden near the fold beneath the breast) frequently widens to some degree, as this portion of the scar bears the most weight and tension.
Your breasts will remain “perkier” after surgery than they did before. However, time and gravity are still concerns after surgery. Therefore, you should wear a support bra (as you did prior to surgery) to maximize the longevity of your results.