Breast reduction and lift. Will they be perky or would I need to put implants in?

I appreciate your question.I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  Best of luck!    Dr. Schwartz Board Certified Plastic Surgeon#RealSelf100Surgeon #RealSelfCORESurgeon

Thank you for the question.  Based on your description, you sound like an excellent candidate for breast reduction surgery. It will be important that you select your plastic surgeon carefully and communicate your goals carefully as well. I would suggest that you avoid utilizing cup sizes as a reference when it comes to goal communication; this can be a source of confusion and miscommunication. The use of goal photographs and computer imaging may be very helpful during this communication phase. I would also suggest that you not consider having breast implants placed at the same time as a significant breast reduction/lift is performed. Hopefully, you will be pleased with the results of the breast reduction and not "require" breast implants. Of course, much will depend on what you mean by "perky"… 





 My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as discussed above. Working together you will come up with a good plan to achieve your goals. You may find the attached link helpful to you as you learn more.  Best wishes.