If you are like you say you are, with the nipple-areola above the breast crease. Then an augmentation is all you will need usually. When you lost weight, you lost volume and the breast sagged some. If you can replace the amount of volume you had before, then you are back to where you were. To do this, you need to let the breast tissue rise up over the implant. The best way to do this is with an implant over the muscle. To give the best chance of not having scar develop around the implant in this position, I generally use a textured implant and prefer silicone over saline.





