Uplift or Enlargement?
“I want my breasts lifted but I don’t want scars”. This is one of the most common things I hear as a Consultant Plastic Surgeon specialising in breast surgery. And of course, it’s understandable - you want to achieve the most while sacrificing the least, and scars are permanent. Plus, there’s a lot of content online which suggests this is possible.
In this article I will debunk some of the myths and misconceptions around breast lifts and whether a breast implant will lift the breast.
Does breast augmentation lift the breasts?
Breast augmentation means surgically enhancing the size of the breasts by inserting breast implants. The scars from this surgery are usually discrete and not visible from looking directly at the breasts.
Importantly, inserting breast implants is the only way to get fullness in the top of the breast (sometimes called upper pole fullness), which is sustained over time. And while there is a small lifting effect from inserting implants it is limited and usually temporary while the breast tissue stretches and settles over the top of the implants.
How is a breast lift different?
A breast lift involves reshaping the existing breast tissue and removing excess skin, positioning your own tissue to a more lifted position on the chest. This is a rejuvenating procedure, aiming to combat some of the effects of ageing, weight gain and loss, and pregnancy and breast feeding.
But it comes at a cost. You will need to have scars on the front of the breast - around the nipple-areolar complex (the coloured area around your nipple), and usually down the front of the middle of the breast.

So which operation do you need?
You should seek a professional opinion from a ‘board-certified’ plastic surgeon (see other blog about choosing your surgeon). They will be able to advise you of the options and the trade-offs you will need to make e.g. scarring on the breast.
In general, if you lift your arms when you’re standing undressed in front of a mirror and cannot see the crease under the breast clearly (the infra-mammary crease), you will probably be a candidate for a breast lift. If you want to increase the volume of your breasts as well or have permanent fullness in the top of the breast then an implant can be added.
What do breast lift scars look like?
The scars for a breast lift are usually around the areola, down the middle of the front of the breast, and along the crease underneath (although sometimes you don’t need this last scar). They are typically described as vertical scar (like a lollipop), or inverted-T scar (also known as an anchor scar or Wise pattern).
Scars will mature over several months following your surgery. Typically, they are initially quite red and then become darker before eventually fading to a pale colour. People with darker skin tones may see a darker pigmentation in their scars in the long term and anyone can experience abnormal scarring which is stretched and darkened.
Where can I get more information?
You can find more information about these surgeries on the services pages, or on the BAAPS website. But ultimately you will need to seek advice from a professional. Get in touch today to have an open, candid consultation with me about what you're after and how I can help you achieve your desired results.


