Breast reduction and breasts "deflating". Can something be done to add upper pole fullness?

The best technique to obtain upper pole fullness
is called The Ultimate Breast Lift™.The
breast tissue is reshaped creating upper pole fullness, elevated higher on the
chest wall and more medial to increase your cleavage.Aligning the areola and breast tissue over
the bony prominence of the chest wall maximizes anterior projection.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed.The weight of the breast is
transferred to the underlying muscle resulting in long term stability.Best Wishes,Gary Horndeski, M.D.

Maintaining upper poke fullness during breast reduction depends on technique.  The best technique for maintaining this fullness is the superior medial pedicle. 

HI,The best answer to your question is whether you have upper pole fullness now. If you don't, then it is unlikely that you will have it after the reduction. There are techniques in reduction and lifting designed to augment the upper pole, but gravity invariably pulls the tissue down. Make sure that you discuss this carefully with your surgeon prior to proceeding with the operation.All my best,Daniel A. Medalie, MD

It is possible to either limit resection of the upper pole of the breast during a breast reduction or move some breast tissue into this area.  However, these surgical maneuvers are limited compared to the placement of an implant.  If this is a concern, I would consider an implant as the best way to restore fullness of the upper half of the breast.

Hello and thank you for your question.To avoid having
surgery done twice, to achieve upper pole fullness at the time of your breast
reduction an implant should be placed. I recommend that you see a board
certified plastic surgeon in consultation to get more specific answers to your
questions which can best be addressed after a thorough history and examination
is performed.
Best of Luck to you!

Discuss your concerns with your plastic surgeon.  The question is whether you have upper pole volume to begin with; many women with macromastia don't and adding volume there isn't covered by insurance and can result in a coverage denial for the whole operation. It is important to have realistic expectations as to the results of the procedure.

Congratulations on your decision to proceed with breast reduction surgery. The most important decision you make is careful selection of your plastic surgeon; you will want to make sure that he/she can demonstrate significant experience achieving the types of outcomes you will be pleased with.  You will find that the aesthetic outcome of this procedure, including details such as the superior pole volume achieved, will vary from one plastic surgeon to another.Then, it will be important for you to communicate your goals carefully. I would not suggest that you communicated goals on achieving a specific cup size; for example, a "small C cup” may mean different things to different people. In my practice, I much prefer the use of goal pictures during this communication process.Best wishes; hopefully you will be very pleased with the results of a the breast reduction procedure. If in the longer term, you wish to achieve more superior pole volume than what is achieved with the breast reduction procedure, breast augmentation surgery may be indicated as a second procedure.