Breast Lift With or Without Implants: Making the Right Decision on the South Shore

One of the most common and misunderstood decisions in breast surgery is whether to combine a breast lift with implants. Patients from Longueuil, Brossard, and across the South Shore often arrive convinced that implants are mandatory. In reality, the correct choice depends entirely on anatomy, not trends.

A breast lift addresses position and shape. Implants address volume. These two goals are related but not interchangeable.

When breast tissue has lost volume—especially in the upper pole after breastfeeding or weight loss—a lift alone may correct drooping but leave the breast appearing flat. In such cases, implants restore projection and fullness. However, when volume is adequate and only position is compromised, adding implants introduces unnecessary weight and increases the risk of long-term sagging.

Dr. Alain Gagnon evaluates tissue quality, chest dimensions, skin elasticity, and lifestyle before recommending implants. His philosophy is conservative: only add volume when it serves the anatomy and the future result.

Combining a lift with implants can be transformative when properly indicated, but when performed indiscriminately, it increases the risk of revision surgery. Precision in decision-making is what separates expert breast surgery from average results.