Breast lift - can I have good results without implants? (Photos)

Question

I am very much wanting to have a breast lift and correction for my asymmetry. Large weight loss has left me with very saggy breast aswell as very little breast tissue. My issue is I am not wanting to have breast implants, only the lift. I am well aware that implants would give optimal results but I am not wanting them. I wouldn’t be apposed to fat transfer however I have heard lots of cases where it doesn’t stick? My goal is to have lifted breasts, that look the same size (small or not) and require me not to have to wear a bra! Would love your thoughts please

Leland Deane, MD, FACS · Answer

Hi and thank you for your question. I feel strongly that a breast lift/mastopexy would give you good symmetry and shape. You have have a smaller volume, but, as you point out, that's often ok. In addition, once you have a perfect shape, you can decide at a later date of a small implant is necessary and then the operation becomes much more accurate. Don't do a mastopexy and augmentation at the same time!
Best of luck,
Dr. Deane

Jeffrey M. Darrow, MD · Answer

Thank you for your photographs. Yes, a breast lift would be an excellent solution for you to have your nipple/areola moved upward to its correct position which is above the fold under your breasts.  A breast lift would also tighten your breast skin to help support the new elevated position of your breasts.  To achieve better symmetry of your breast size, a small amount of reduction can be done on your larger breast to bring it more in line with your smaller breast.  A breast lift does not require drains and all suturing can be done underneath the surface of the skin with dissolving sutures so there is no need for suture removal. Breast lifts have minimal discomfort postoperatively and the recovery is quick. Best wishes.

Michael Baumholtz, MD, FACS · Answer

Thank you for your question and your picture submissions.
1) You can absolutely just do the lift (lift with correction / improvement of symmtry)
-historically lift / implant combinations were routinely staged with the lift first

2) how to know what kind of look a lift only will give
-put the back of your hand and hold the breast at the level of the fold. If the skin mostly "puddles" without definition - that's what it will be like

3) is fat an option
-yes. but. maybe
-yes but first you need to heal, then the question will be using your fat vs something like Alloclae - which actually might be a better option down the road.

Best wishes - Dr B

Breast lift - can I have good results without implants? (Photos)

Answers (3)

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