You may come out ahead in terms of best breast shape.
By having a breast lift first and healing completely you achieve the best tightness. If your surgeon had added an implant at the first operation, he or she would have had to leave some slack to allow space for the implant. You probably have a tighter lift since you didn't have implants.
If you go back for a second stage now you can achieve more fullness and tightness than if you had both done at the same time. I often suggest a two stage approach for women who are unsure whether they want implants.
Secondly, I commonly see patients who request breast lift and ask if their size will increase or decrease. My answer is that we only remove skin during mastopexy, but bras often fit differently afterward, so bre size could change. Breast volume is not likely to change much.
Finally, I would add another bit of advice. Larger breasts weigh more and give gravity more to pull and stretch down. Generally a DD size will result in more repeat looseness (we call it breast ptosis) over time. You may want additional tightening (repeat lift) in the future. Surgery may not ever give you the projecting, full, perky shape you would like, that stays up over time. But it can be an improvment over natural droop.
Best of luck, Sutton Graham, MD
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