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Possible To Get Upper Pole Fullness After Weight Loss with Breast Lift and NO Implants??

Im 18 and Ive lost more than 80 pounds. I went from a 42DD to a 34DD and Ive lost a lot of the fullness in the upper part of my chest. I really REALLY dont want implants. Is there any way a breast lift can give me that fullness? Ive read all about it but everything Im reading seems to involve implants. I read a little bit about "auto-augmentation" that doesnt involve implants. There isnt a lot of info about that type of surgery that I know of. Also, If I ever have kids could I still breastfeed?

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14 Doctor Answers | Asked by Ashley379

Doctor Answers (14)
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Breast Lift and Implants For Upper Pole Fullness After Weight Loss

Thank you for your question. After weight loss the breast skin is lax but the breast gland has also lost volume. In my experience Breast Implants are always required to obtain upper pole fullness with a lift after significant weight loss.

Breast lift for skin tightening and upper pole fullness following weight loss.

Whether or not you can achieve upper pole fullness with a breast lift depends upon the amount of breast tissue you have remaining after your weight loss. If enough tissue remains, even it hangs down and the upper pole is flat, a breast lift can create a pretty breast that can be shaped nicely and resuspended up on the chest wall. The skin is redraped and tightened over the breast tissue. Sometimes after the skin is tightened and the breast lifted the breast can seem smaller than it... more

Lift without Implants

I think the most important question to answer is whether you have enough native breast tissue to lift? If you have enough breast tissue, there are several techniques available to provide upper pole fullness to the breast without the use of implants. However, if you only have breast skin remaining, with very little breast tissue, then you may require an implant to achieve an aesthetically pleasing result. I wish you a safe and happy recovery. more

Implants necessary to gaim upper pole fullness

Congratulations on your weight loss! Photos would be helpful to determine whether you would benefit from implants to achieve your overall goals. In some cases, patients are pleased with a breast lift alone. A breast lift involves reshaping the breasts. Your results may depend on the quality of your skin and the amount of breast tissue you are starting off with. Breast implants may be necessary to provide upper pole fullness and volume if you don't have sufficient breast tissue to... more

Acheiving Upper Pole Fullness in Breasts

In my opinion, only an implant will give you upper pole fullness. You already have a good breast size, so in order to give you upper pole fullness without making the breasts too heavy, a combination of breast reduction and breast implant may be needed. In other words, by doing this, we are adding size and weight to the TOP of the breasts, rather than having the breast tissue hang down. I hope this makes sense!

Deflated breasts

With nursing, weight gain and loss, or aging, the breast gland contracts to a smaller and denser amount from it's voluminous and sturdy beginnings. Breast lift incisions are in the bottom half of the breast which makes the "lift" actually a "push-up". To assess your result after a breast lift (only), push up the sagging part of the breast up to the bottom fold of your breast. What volume increase you see on top is the probable result of a lift only. In general, auto-augmentation/fat... more

Restoring breast fullness after MWL

Congratulations on your weight loss! I can understand your disappointment if the deflation of your breasts. Even in women who have not lost a lot of weight you can never get the same amount of upper pole fullness with a mastopexy alone that you do in a woman who needs only implants. That's why so many women get implants with their lifts. It is possible to have a naturally shaped slightly concave upper breast with mastopexies alone especially if you have... more

Breast lift and upper pole fullness

Upper pole fullness can be achieved in some individuals with a breast lift, but usually it is better with implants in most cases especially in women with small breasts.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift without implants

As you can read this is really debatable. In my experience is completely depends on how much breast tissue you already have. In patients with a significant amount I have been able to make them look just as good as a lift with an augmentation without actually using implants. If you have more skin and very little actual breast tissue then it is impossible to achieve that upper pole fullness without them. Photos would help but even better would be for you to see a board... more

Breast lift after weight loss

With significant weight loss the breast can appear somewhat deflated and elongated and feel lower on the chest. As you really do not want breast implants the breast lift has to patterned to give upward lift to the breast tissue. Usually a full 'T' pattern breast lift will recruit and lift the breast sufficiently to avoid the implant, and if done well should not interfere with breast feeding. Best of luck, peterejohnsonmd

Fat grafting with lift will give you upper pole fullness

Your concerns about the upper pole fullness can be treated with lift and fat grafting at the same time. You can check my web site for examples.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Autoaugmentation can provide upper pole fill

Autoaugmentation is a procedure taht works well in some patients. It uses your own tissue to provide fullness to the upper pole. It is not suited for every patient, and the smaller the breast you start with (B cup for example) the less likely it is to provide the correction you desire. There is a good chance that your 34DD breasts can be lifted and provide you the result you desire without an implant. It all depends on the distribution of your breast tissue and the... more

You need implants for upper pole fullness.

Autoaugmentation does not work (I've done the measurements). You need implants if you want upper pole fullness. No way around it. If someone tells you they can do it with a lift, they are wrong and you will be disappointed (be sure to look at photos) and need additional surgery. Why are you so against having implants? They can be saline. They are actually better than your own breast tissue in providing upper pole fullness. You would be... more

Breast lift fullness without implants

Mastopexy can create upper pole fullness. This is done by shaping the breast tissue. A lot of surgons will tell you that you have to have an implant but you don't. Avoiding the possable reoperation associated with implants is priceless. Fat injection to the breast is a new proceedue that is being done but the safety of this procedure has yet to be proven. Don't be first or last.