Do I Have Enough Breast Tissue for a Lift Without Implants? (photo)

Thank you for your question. You certainly can benefit from a breast lift and you do have glandular tissue left to help fill the new breast shape.However you are thin, have excess loose skin, and do not have a lot of fat beneath your skin. While I'm sure you will be happy with the new shape and position of your breast after your breast lift you will not have a firm or full breast with fullness above the nipple in my opinion, unless you have at least a small implant placed.The suggestion below that you have your lift first and decide later if you need implants is a good one. Just be prepared that after a period of 6 months you may choose to have a small implant placed which can be properly done as a second procedure.

Thank you for the photos. Congratulations on your weight loss. If the desire is for upper pole fullness, the usual way to do that is with an implant. The implant does not necessarily have to be large. If you need or want volume, then a larger implant will help. Nipple/areola positioning is a different matter and may necessitate more work, (i.e.; a lift). Discuss your goals with the board certified plastic surgeon and make sure they are reasonable. Together you will come up with a plan.

Implants in your case are not absolutely essential, but I agree you would getter a nicer shape with implants.  If I were to do your surgery, I would do the lift first and put implants in at a second stage if you need them.  Trying to perform a lift with implants in one procedure would be risky, since your nipples need to be raised quite a bit.