Saggy breasts and large nipples. Would I benefit from a breast lift only? (Photo)

If you simply have a lift your chest will be almost flat. Without an implant you are better off not having any surgery at all . And fat transfer will not give you enough volume.

HI ris19,
I understand your hesitancy about not wanting implants. once you remove the excess skin, you will be left with A cup breasts and as long as you are OK with a nice shaped and lifted A cup breasts, then you would be happy with the lift only. However, I recommend that you also reconsider fat grafting as if done correctly and at the right amount, it can provide you better shape and symmetry with a safe outcome. Given that your breast skin has lost support, I recommend that you consider an internal support as well. At Cosmoplastic Surgery, we have used the "Naturabra" technique that allows for your own breast tissue to act as an internal bra that supports the lifted breast while filling out the superior pole. We just reported our results of the past 18 years of over 700 breast lift cases at the 100th anniversary meeting of the American Association of Plastic Surgeons in San Diego in April 2022.

A breast lift alone would most likely be sufficient. This would tighten up the loose skin and reshape your breasts to make them perkier. An areola reduction can be performed at the same time. Implants would only be necessary if you want significantly rounder breasts.

Hi rish1985,
Breast lift or mastopexy can reduce skin excess in both the horizontal and vertical directions, while concurrently decreasing the size of the areola and moving the nipple to a more forward facing position. So....yes, a breast lift could address your concerns.
However, these changes come at the expense of scars--at least around the nipple and vertical (from six o'clock of the areola to the inframammary fold), and possibly an inverted T incision. I would suggest meeting with a qualified plastic surgeon to better understand the tradeoffs of shape improvement vs. scars.
Best of luck.
Hope this helps,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

The technique I recommend is 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, 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.

Hi, thank you for sharing your question. If you are happy with your volume, you are certainly a candidate for a donut or lollipop lift. It’s hard to tell which one is best for you based on a photo. A consult with a board certified plastic surgeon will help you decide.

Dear rish1985,
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. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You could do a breast lift and raise the nipples and remove the excess skin. Just based on your photo, you don't appear to have much donor fat.

Thank you for your detailed Question and Excellent photos ! Yes, you are a candidate for short scar breast lift procedure without Implants or Fat grafting which would achieve the same breast size (volume).Limited “short scar “ incision (“Lollipop”technique) achieves optimal result to meet your desire of short scar while achieving maximal lifting and beautiful shape, improves skin laxity quality and reduce Nipple areola complex size as you desire.We empathize with your current thoughts of “really not wanting to put a foreign object back in my body, I cannot seem to get on board with all of the potential side effects of a fat transfer.”However, In our practice, we care for many breast cancer reconstruction patients with fat grafting as well as Aesthetic natural fat grafting as safe, reliable and highly gratifying procedure for many patients over 13 years ( since 2009)If you desire additional volume, you are also a great candidate for autologous (your own body fat) Fat Grafting which is a natural breast Augmentation at the same time as short scar breast lift.Consultation with a board certified ( ASPS) plastic surgeon Who specialize in breast procedures in your area would provide you excellent care!Best of luck in achieving a wonderful outcome.

Hello and thank you for your question! Congratulation on breastfeeding them... and such a good amount of time!Certainly a breast lift will put some tonicity in the breast and take away the wrinkles! If you are happy with the volume ( when you wear a sport bra for instance...) you will be happy with the lift alone!If you think it is a bit small, I would not hesitate to go for a fat transfer: there is no side effect and the only minor event could be calcifications due to fat resorption. A surgeon who is used to doing this type of operation rarely has this happening! I personally have my patients do a mammogram before the surgery and 12 months after ( and we consider that all the changes in the mammogram are due to the surgery and not to some malignant transformation! ).
This being said you seem to have very little fat around even for a single fat transfer session to the breast. But I would not exclude the fat transfer form the good options!