Brest lift with implants or fat transfer? (Photo)

A breast lift alone will improve the sagging, but you won't have adequate volume to achieve the desired aesthetic contours. I would favor an implant for the volume, as I doubt you would achieve enough increase with fat transfers.

"Thank you for detailing your concerns. Based on your description, a breast lift (mastopexy) will address the sagging and position of your breasts. If you're aiming for a specific size, combining the lift with implants may offer more predictable volume enhancement. While breast fat transfer (BFT) is a natural option, its results can be less predictable in terms of retained volume. Considering your goals, a breast lift combined with implants would likely achieve the desired C cup result. However, it's essential to consult with a board-certified plastic surgeon to discuss your concerns, risks, and benefits of each option.



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Only a small amount of tissue is removed during a breast lift, therefore you will be about the same size as you are now. However, your breasts will be perkier, therefore they may fit into your bra differently.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

If you get a lift you will also need to increase volume. I don’t think transfer will retain enough fat to be worthwhile so I recommend an implant

With just a lift, excess skin is removed and you will be actually smaller. Implants will give a more consistent size and can be placed behind the muscle for better upper breast fullness and better coverage of the implant and more support for the implants with less long term sagging.