Tracy L. Cordray, MD

 Hello!

It's difficult to say whether your plastic surgeon could have done more without seeing your pre-operative photos.  From this photo, it appears that your nipples are at a decent level.  One thing you DON'T want is...nipples that are too high!  That is a very difficult problem to fix.  Your nipple-areolar complexes should be located at (approximately) the half-way point between your shoulder and elbow.  Yours appear to be SLIGHTLY lower than that.

I do not think that you will be able to go without a bra...unless you have a significant reduction in the size of your breasts.  Women with larger breasts, such as yourself, should not go bra-less, as that only contributes to more droopiness in the future!  If you really don't like wearing bras, you should request a breast reduction, removing approximately 600-700 grams from each breast.  During that surgery, your nipples could be elevated slightly.

Overall, I think your plastic surgeon did what he could, without removing breast tissue.  If you want your breasts higher and firmer, you need to have breast tissue removed...ie, a breast reduction.  You could have a beautiful result from a reduction!!

Hope this answers your questions to your satisfaction. Good Luck.