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.