61 years old: what kind of results can I expect from a breast lift with implants?

A breast lift combined with implants is the best way to restore youthful shape and position of the breast if you want a 'full' look. Generally the anchor pattern breast lift gives the most control over reshaping the breast. An implant will provide "upper pole fullness" or volume at the upper inner portion of the breast in women with a deflated breast after pregnancy or breast feeding.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Without photos you can not expect any concrete answer. In general for your age, size and after 2 pregnancies, you will likely need both lift and implants. In person or telemedicine consultation with a board certified plastic surgeon is recommended. Good luck.

Unfortunately, you have not provided photographs or told us your current bra size. However, I recommend a lift using 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 and nipple sensation (in 95%) is maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear GoddessofMinerva,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You can get good results, but you won't have 30 year old breasts with 30 year old skin. Your breasts may not stay as tight as you want and you need to avoid going with large implants.

Without photos it is impossible to give you any kind of helpful advice. You should reach out to a board certified plastic surgeon for an in person conusltation. Make sure you bring photos of your desired look, but keep in mind that your body shape and size is different from anyone elses, so these should only be a guide as to what you wish to acheive.

Best of luck.