If I get an anchor breast lift with internal mesh, can I achieve slight upper pole fullness without an implant? (Photos)

Question

It was recommended I get an internal mesh with an anchor breast lift. I agree that I do need and want a breast lift after breastfeeding children. I am trying to determine if I can achieve the results I would like without an implant. Maybe auto augmentation. I was hoping for a lifted and slightly more upper pole fullness or a little more round than the current ski slope I have. I wasn't sure if that was possible without an implant. I am 40. 5'7" and 135lbs. Hoping to maintain a minimum full C (current is 34D and sometimes 34C).

Tyler Frew, MD · Answer

Hi there,
Yes it’s possible to achieve slight upper pole fullness with a lift/auto augmentation and mesh alone. The result/upper pole will be more subtle than that of an implant however. Be sure to show your surgeon some inspiration photos so your both on the same page 
All the best

Finny George, MD · Answer

Hi, thank you for sharing your question. While you are a great candidate for this surgery, long term stable upper pole fullness is hard to predict given that the aging process is not frozen in time and the breasts will slowly continue to sag. In the absence of implants, your proposed surgery will give you the best chance at achieving those goals.

Waylon Zeng, MD · Answer

Hi there, thank you for your question and thanking for sharing your photos. It seems like you are looking for a lifted and fuller breast appearance without getting breast implants. It also sounds like you'd like to go slightly smaller in your bra size, D to a full C. As you mentioned, I think a lift would get you to the desired bra size, and the auto-augmentation can help with a bit of upper-pole fullness. However, even with the internal mesh, you would not be able to get a significant amount of upper pole fullness without implants. The internal mesh mainly does a better job at maintaining the bottom part of the breast and reducing the chance of the breast "bottoming out". You could consider fat transfer to the upper pole, which can provide you with some extra fullness but not as much as an implant would.

Laura Roider, MD · Answer

Great question Mountains61407! I understand the desire to achieve your results without an implant. Unfortunately, even with mesh (used as an internal bra) you are unlikely to maintain significant upper pole volume long term. If you proceed with an anchor breast lift w/ mesh you will have a moderate upper pole volume immediately following surgery but as time passes, the swelling resolves and everything settles you won't maintain that volume. 
An implant is the most reliable way to achieve and maintain upper pole volume. Alternatively, you could do fat grafting to the upper pole which would provide a more subtle volume increase in the upper pole.

Jacob Carlson, MD · Answer

If you're trying to achieve upper pole fullness, I would strongly recommend considering an implant. The implant doesn't have to be a large one, but the cohesivity of a silicone implant is going to provide more consistent upper pole fullness than your breast tissue will be able to accomplish. When we perform a breast lift alone, the natural breast tissue typically does a nice job of filling out the middle and lower thirds of the breast. Even with the auto-augmentation techniques, the breast tissue doesn't do a good job of filling up the upper pole of the breast. Auto-augmentation techniques are better at preserving most of your overall breast volume with the lift. Adding an implant is what will provide the fullness in the upper third of the breast.

If I get an anchor breast lift with internal mesh, can I achieve slight upper pole fullness without an implant? (Photos)

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