Breast augmentation without lift? (Photo)

Hello! Unfortunately, this is a common problem after breast lift (especially in the setting of weight loss). A breast implant can surely, fill out the upper pole fullness that you are desiring. However, it should be noted that in patients who have lost a large amount of weight, the breast crease may be too weak to support an implant and you may require an internal bra mesh for soft tissue support as well as to support the new implant. The alternative is performing an autoaugmentation lift but over time, your breast tissue will still continue to age and you may lose some of that upper pole fullness (an implant does not age!). Good luck!

If you've experienced further sagging and loss of volume in the upper part of your breasts after your breast lift and subsequent weight loss, implants could potentially help achieve the upper pole fullness you're seeking. Implants add volume, particularly in the upper breast, which can create a fuller look. However, whether implants alone will be sufficient without another lift depends on the degree of sagging and your skin's elasticity. If the sagging is mild and mainly a matter of volume loss, implants might be enough. But if there's significant sagging, especially after further weight loss, another lift might be necessary in conjunction with implants to achieve the desired aesthetic. It's important to have a thorough consultation with your plastic surgeon.

Thanks for your question! I do think you would benefit from some form of a breast lift. Your nipple/areola complex looks to be in a good position so you may just need a lower pole mastopexy with an implant. Please be sure to consult a board-certified plastic surgeon in your area. Good luck!