Is second Breast Lift safe 3 yrs after? And can weight gain and loss of 10 pounds cause breasts to be empty again? (photos)

HI Samantha 33396,
The short answer to your question is yes, it is safe to do re-operative surgery; however, it is important to know as much about the first surgery as possible in order to "provide a road map" for your next surgery. Once your re-operative surgeon knows the approach that was taken before, they can then devise a safe route to make sure the circulation remains intact and you get your desired outcome. As far as weight gain and loss, I would say that it is quite similar to pregnancy weight changes that can cause deflation in the breast tissue; But given that we know your skin tends to give way to the drop in breast tissue it is best to provide internal support to help prevent recurrence of this problem. At Cosmoplastic Surgery, we have used the "Naturabra" technique that allows for your own breast tissue to act as an internal bra that supports the lifted breast. We just reported our results of the past 18 years of over 700 breast lift cases at the 100th anniversary meeting of the American Association of Plastic Surgeons in San Diego in April 2022.

You might want to consider minimally invasive radiofrequency skin tightening to tighten that small amount and avoid surgery.

From the photo it appears you would benefit from a 2nd breast lift. It's unlikely you'll maintain upper pole fullness without an implant as you need more volume. Weight gain and loss affect women differently but generally speaking a ten pound gain or loss does not produce a significant difference in the breasts.