Mastopexy /augmentation not an option? (Photo)

The loss of elasticity and volume are the reasons for a lift and the placement of implants. Make sure you are meeting with a plastic surgeon who is experienced in breast lifts combined with implants. Ask them to describe how they perform the procedure including the placement of scars, the repositioning of the nipple areolar complex, the choice of implant size based on measurements, how the implants are placed, the expected outcome, etc.

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.

I would highly recommend insertion of breast implants with an internal bra (galaflex) for support and a mastopexy. This is just the absolutely minimum require to restore upper pole volume and shape of the breasts after massive weight loss.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

An augmentation with a moderately sized implant and a lift would be your best option to restore breast shape and fullness.

You can have an augmentation and lift. However, do not chose large heavy implants for your sagging tissue will not support that weight. an internal bra of mesh could also be very helpful for you to add more support.

Skin laxity or skin laxity with the loss of skin elasticity. Can I have serious compromise on the outcome of any cosmetic surgical procedure.
Having skin redundancy, simply lowers your candidacy for high-quality aesthetic outcomes.
At the same time and potential impact of quality, cosmetic, surgery can be profound even if the final outcome is not what it could be on someone who has better skin.
There will be an issue with skin redundancy on the lateral aspect of your breast from doing the mastopexy. Your skin redundancy continues onto the side of your torso and probably goes all the way to your back.
Thinking about what to do with all that redundant skin is something to consider for any provider.
Ask plastic surgeons to show you previous examples of other patients who also had significant skin redundancy.
I sufficiently experienced plastic surgeon that should’ve taken care of similar patients in the past and should have some experience operating on patients with significant weight loss.
Ask providers to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own.
Best,
Mats Hagstrom, MD