It’s completely understandable to want to restore the fullness and size you loved before. A consultation with a skilled plastic surgeon is key to determining the best approach for your unique goals and anatomy. Based on your description, here’s an overview of the possibilities: Breast Lift (Mastopexy) with Implants • If you want to both restore volume and address sagging (ptosis), a breast lift combined with implants might be an option. • This procedure would remove excess skin, reposition the breast tissue, and add implants to achieve the size and fullness you desire. • It’s possible to use a range of implant sizes to increase your cup size to a G, depending on your anatomy and skin elasticity. Breast Lift Alone • If your surgeon recommended a lift without implants, they might believe your natural breast tissue is sufficient to achieve your desired look once lifted. • This approach focuses on reshaping and lifting the existing tissue, but it won’t add volume. Considerations for Adding Implants • Your current size: A DD/E is already quite substantial. Adding implants to reach a G could place more weight on your chest, which may impact long-term comfort and back health. • Skin quality and support: After weight loss and nursing, the quality of your breast tissue and skin plays a significant role in determining if implants are a viable option. • Combination techniques: In some cases, fat grafting can be used alongside implants or alone to add volume in a more natural way. Risks to Discuss with Your Surgeon • Implant size and weight may increase the risk of complications like implant displacement, capsular contracture, or sagging over time. • The type of implant (saline or silicone) and the placement (above or below the muscle) also matter. If your heart is set on restoring the fullness and size of G cups, it’s worth seeking a consultation from a board-certified plastic surgeon who specializes in breast augmentation. They can assess your anatomy, discuss your desired outcome, and create a tailored plan.