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Do I Need Implants Along with Lift to Achieve Fullness? (photo)

I have gone thru so many before and agrees on breast lifts and I just don't like the way the breasts look after. They just seem flat on top. I am a 40dd and am hoping I have enough tissue to fill breast but I have lost 45 lbs and my breasts have paid the price. I am looking into the mommy makeover bc I need a tt as well. I've had 4 children Do you think I am ready ideally or should I try and lose maybe 25 more for the best results? I want as much stretch marks on tummy gone as possible. TY

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18 Doctor Answers | Asked by dhuss

Doctor Answers (18)
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Breast lift alone or with additional implant

From the photos, you appear to have a lot of breast tissues. You should have enough of your own breast tissues to reshape your breasts and add fullness to the top. Adding implant on top of what you already have will only add more weight to your overall breasts. The additional implant may accelerate subsequent sagging because your new breasts will be larger and heavier than what you started with. As far as weight loss is concerned, go ahead and lose the weight. It's ideal to have the surgery... more

Try the lift first, it may suffice

Dhuss: Congratulations for working hard to reclaim your pre-pregnancy body. If you can loose a little more weight, you will be able to determine how much more volume shrinks from your breasts and the need for implants may become clearer. The first picture suggests that your right breast is fuller, so in a breast lift, some breast tissue may be resected to improve your symmetry. Combining a lift with a tummy tuck is generally less painful than an augmentation-pexy (lift &... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Implant

I do not think you need an implant. You appear to have enough volume and really just need a lift. You are ready for your tummy tuck as well. If you lose more weight after the surgery you will just look even better

Get to an ideal weight you can maintain

Thanks for your question and photos. It looks like a lift alone should be able to restore your shape and volume. Adding an implant adds weight and creates other issues.Regarding the TT, I like my patients to be close to a BMI of 25. It is not a perfect measuring system, but above that increases risk of postoperative problems. Best of Luck!

Implant or no implant

Thank you for the pictures. It is best to be at the ideal weight before surgery to ensure the best results. In regards to the breasts, it appears you have a lot of breast tissue and I would not think you need an implant. I think you would benefit from a full breast lift, to tighten the breast and raise the nipple. I hope this helps you. Kindest regards, Neil J Zemmeil

Ready for Mommy Makeover?

I think you could get a fantastic result with a mommy makeover without having to lose more weight first. If you lose some weight before or after, will it make the result better? ... Yes but in your case I do not think it is an absolute necessity. As to whether or not you need implants, you have a lot of volume already and probably can get by without them, but I would make sure to discuss this with your surgeon and ask them how much fullness they think is achievable... more

A breast lift alone should give a good result

Hello. Judging from your photos you should have enough breast tissue to achieve the fullness you are looking for, however, if you plan on losing weight it is advised that you do so before surgery as it will impact the amount of tissue you have in your breasts. A tummy tuck will make stretch marks below the belly button disappear and the appearance of stretch marks above the belly button will improve. Jaime Perez, MD Mommy Makeover Specialist Plastic Surgery Center of Tampa more

Implants with Lift to Get Fullness in Mommy Makeover

I would lose all of the weight you want to lose prior to surgery. This will only improve the results. In addition, this will give a more precise answer to whether or not you need implants to get the fullness you want.

Mommy Makeover Treatment Plan

Thank you for your question and photos. Based on these photos, it does appear you have a good amount of breast tissue but are challenged with sagging. A breast lift can reshape your breasts to achieve a more youthful look. It can add volume to your cleavage area as well. Whether or not you would need an implant would depend on your volume goals. Are you happy with your breast volume currently? If so, then an implant is not needed. However, if you would... more

Do I Need Implants Along with Lift to Achieve Fullness?

Always best to lose all the weight you want to before a cosmetic surgery. And yes you need a full lifting As for implants hard to tell. Seek in person opinions from boarded PSs in your city.

Mastopexy with or without breast implants?

Your photos indicate that you have a lot of breast tissue present that may provide you with ample size and fullness without the need for breast implants. However, you did not indicate the ultimate size that you would like to be nor if you had intentions of losing a significant amount of additional weight. You should be evaluated by one or more board certified plastic surgeons in your area who could more precisely provide you with the appropriate information.

Loose weight before considering breast lift surgery

You have plenty of breast tissue and are a good candidate for a breast lift / reduction depending upon your desire for breast size following the procedure. You will most likely need a key hole type mastopexy but this can be done as a dermal pedicle autoaugmenation using some of the breast tissue that is hanging below your breast crease and use it to simulate a fuller perkier breast. You will get your best result if you are at or nearly at your desired weight at the time of... more

A breast lift alone is a reasonable first option

Hello, Thank you for the question and photos. I think a breast lift alone can give you a very nice result. It will never give you long term fullness of your upper pole as only a breast augmentation alone can provide that. You could always reassess your breast shape down the road and decide to get a breast augmentation. All the best, Dr Remus Repta

Implants or Breast Lift

In your case, I would recommend reaching your best weight, then having surgery. A breast lift without implants may be a better choice as you have a fair amount of breast tissue.

Do I Need Implants

Even after your weight loss, you appear to have enough breast volume that an implant would not be necessary you might even consider some breast tissue removal at the time of the lifting You can always add the implants at a later date if you desire Remember that the more weight that you add to your breasts, the more likely there will be skin stretching in the future.

You should get a nice result with a lift alone

From the photos you have adequate breast tissue to give you a lift and still maintain and maintain a nice sized breast. I always tell my patients to try to lose as much weight as they can to get to their target weight prior to any body contouring surgery.Most of the skin from your belly button to the pubic area will be removed. Any stretch marks above will be flatter because they are stretched out

Implants Along with Lift to Achieve Fullness?

Thank you for the question and your pictures. It is never a bad idea to reach your desired weight prior to your operation. This will help to ensure the best possible result. As for the breasts it would seem as though you have enough tissue for the lift. An implant will provide fullness at the upper pole of the breast which typically cannot be maintained with just a lift. Having said that an implant will also increase the breast volume, thus making your breasts larger and heavier. I... more

Do I Need Implants Along with Lift

Congratulations on the weight loss so far. If another 25 pounds will get you near your desired goal weight, you would do well to lose it before your surgery. From the photos and description, I would not recommend using implants. There is plenty of breast tissue to work with to achieve an attractive lifted breast without having to add more volume. When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing... more