Breast Implants Years After Breast Reduction?

I had a Breast Reduction 15 years ago when I was 18 years old. I have gained and lost weight many times since then, had a baby (unsuccessful at breast feeding) and now I have not even a B with very uneven breasts (not as uneven as they look in pic since one hand is holding the camera).

I think I need Breast implants, but am not sure if a lift would even be worthwhile since I already have so much scarring. Any idea where to start?

Doctor Answers 26

Will I need Breast Implants years after a Breast Reduction?

Over time, gravity will continue to have an effect and the breast skin will tend to stretch. The degree of stretching and #sagging varies between women: generally, women with smaller breasts experience less recurring sagging. Genetics, aging, pregnancies, and changes in weight are also factors to consider since your #BreastLift.  If sagging does occur, further excision of the skin on an outpatient basis can be used to correct the problem. Heavy and large breasts may lead to recurrent sagging and may require the removal of a small amount of breast tissue to achieve an optimal shape and size. Some patients will have a better shape to their breast such as increased superior fullness if an implant or a fat transfer is applied during their #mastopexy. One key to a satisfying result of your #BreastLift is realistic #expectations. Call and visit your Plastic Surgeon to discuss your concerns about the #duration of results.

Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

Augmentation and Lift May Be Beneficial

We occasionally see patients who underwent breast reduction surgery when they were younger.With normal aging, weight fluctuations, and pregnancy, they have lost additional breast volume, upper breast fullness, and have developed recurrent breast sag.Under these circumstances, they often request additional breast surgery.

In your case, your picture suggests loss of breast volume, recurrent sag, loss of upper breast fullness, and asymmetry.Under these circumstances, revisional surgery can address these issues and ultimately improve your aesthetic appearance.

Since you have already had breast reduction, revisional surgery could be done without creating additional scars.In this situation, it’s reasonable to perform a combination breast augmentation, breast lift procedure.This procedure can provide volume and upper breast fullness.It would also improve your scars, correct your asymmetry, and lift your breasts into normal position.These changes would ultimately improve your overall aesthetic result.

If you’re considering revisional breast surgery, it’s appropriate to consult a board certified plastic surgeon with experience in this area.This plastic surgeon can formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Breast Implants Years After Breast Reduction?

Dear beverlyhillsmom,

Thanks for your question, and attached image.

It appears from your stated concerns that you would benefit from a breast augmentation, with a possible adjustment of your prior breast reduction.  No additional scars should be expected.

This should provide a marked improvement in the upper pole breast fullness, and even nipples.

Thank you,

Sergio Pasquale Maggi, MD, FACS
Austin Plastic Surgery Center

Lift and implants

Implants alone may help you but a lift would give you a perkier shape if sagging is moderate to severe. you can even out asymmetry with this. Implants can be used (one bigger) to add volume if you'd like.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

Breast Implants Years After Breast Reduction

Your photo suggests a breast augmentation with lift. The scope of the lift would be best determined during the consultation process. Consult in person with 3 board certified plastic surgeons to understand your options, and choose the surgeon/surgical plan that best meets your needs/objectives.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Breast Implants Years After Breast Reduction?

This is not that uncommon of a scenario, especially in weight loss patients. You will need silicone implants behind the muscle with a possible lift. This should restore a perky, full breast. You should have no new scars since you have already had a reduction.

Kurtis Martin, MD
Cincinnati Plastic Surgeon
4.9 out of 5 stars 72 reviews

Implants afer reduction?

Thanks for your question. You would be a great candidate for a lift and augmentation. It can be done together but there is less guesswork on breast descent if the procedures are separate. That said If you like your general size then a lift would be the procedure of choice and you would loose very little volume. The best way to evaluate ptosis (sag) is by physical exam but a picture can give a preliminary idea. The best picture is a side profile. In general breast lifts are done to not only raise the nipple but also to make the areolar/nipple complex smaller and raise the breast tissue to a more natural youthful position. Of course, the key to a great breast lift is patient selection and technique selection. Areolar lifts are generally good for women with good skin quality, breast tissue reasonably placed and a nipple/areola that are sagging no more than 2 cm. Once the breasts sag past that point, it is necessary to perform a lollipop lift which not only repositions the sagging breast tissues but also the nipple and areola. The final and most aggressive lift is an anchor lift which places both a vertical and horizontal incision. Again the determinant is the degree of sagging, skin quality and amount of breast tissue. Last, if there is a deficiency in breast tissue, an augmentation can be done either together with the lift or as separate procedures. Make sure you visit with a board certified plastic surgeon get get specifics on your situation.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

Breast reduction and breast augmentation


  Your right hand (maybe the left if in a mirror) is holding the camera and the same breast nipple complex is lower.  It will be lower with that arm down so you will have more asymmetry with your arms down.  This asymmetry is evident in both your breasts and nipples.

  Here is the ideal approach.  Do a tightening of the breasts with an asymmetric breast lift to correct the bottoming and nipple complexes as mentioned and at the same time, put implants in place.

  You will be very excited.  If you do not want to approach the asymmetry, then an augmentation only will be an improvement on the lack of upper pole fullness that gives a younger look. 

  Yours is not a tough case but consider the full approach if you can accept it.

Steven M. Lynch, MD
Albany Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast Augmentation can fill the Breast many years after Breast Reduction and weight loss.

It is not  an expert uncommon many years after a Breast Reduction and weight loss for the breasst to lose volume and look flat. For these patients a Breast Augmentation can restore lost volume and make the Breast look full.

The potential problem with an additional Breast Lift is the position of the Nipple Areola after the Breast Reduction. The Nipple Areola complex is moved higher during a Breast Reduction and if a new Breast Lift is done the Nipple Areola may look to high and may be exposed with revealing clothing.

An experienced Board Certified Plastic Surgeon can, after an exam give you an expert opinion.

Breast Augmentation after Breast Reduction?

Thank you for the question and picture.
The best place to start would be with consultation with well experienced board-certified plastic surgeons. Physical examination will determine whether you will benefit from breast lifting as well as breast implant surgery. The breast lifting will help “tighten the skin envelope” as well as potentially improve symmetry of the breasts.
Make sure you communicate her size goals clearly with your plastic surgeon;  I prefer the use of “goal” pictures as the best way to communicate.
Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,485 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.