Breast Lift with Very Small Implants to Change Shape and Not Size???

If your sagging deflated breasts fill a bra that defines your desired figure, then a lift is all you need.  The careful removal of excess skin only will not reduce your volume significantly.  If there is a desire for more cleavage or fullness in the bra, then consider the extra volume provided by a small implant.  Beware of the surgeon who offers a breast tissue "reduction" combined with an implant which is really a net gain of zero, but with extra cost to you.

This seems like a reasonable plan and I just performed that procedure today on an individual with similar breast changes following massive weight loss. I perfromed a lift with very slight reduction and small implant to achieve a fuller rounder similar sized breast.  

The key element to determine whether you need a lift or implants or both is dependent on the position of your nipples.  In general, if your nipples are above your inframammary fold, you can usually just perform saline or silicone implants below the pectoralis muscle alone .  This is quite safe and will give you the fullness you desire.

However, if you have true breast ptosis, whereby your nipples are below your inframammary fold, it becomes more complicated and adds a degree so risk for potential nipple and or skin loss as well.   It can be done safely if one uses a smaller implant with the lift. 

I have done many patients with previous breast lift/reduction incisons . You have to be more careful and perform less undermining to preserve the blood supply to the breast skin and nipple areas .  This is why your really need to carefully select an experienced Plastic Surgeon with alot of experience and expertise in revisional breast surgery