Generally speaking, massive weight loss patients tend to experience breast sagging. If an implant is considered in the treatment plan, something needs to be done to tighten up the saggy breast skin. Otherwise, the implant could worsen the sagging or give a very bottomed out look. However, as my colleagues stated, it is difficult to make recommendations without a physcial examination/assessment.
I would first assess breast ptosis (breast sagging) and determine the quality and amount of excess skin on your breast. If a lift is warranted, I would back off and likely recommend a more conservative implant. Then I would consider two factors when selecting implants for my patients:
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.
This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.