Breast reshaping for A cups? (Photo)

From the photo it does not appear that you need a lift. You would have a nice improvement with conservatively sized implants. I generally don't recommend fat grafting as an alternative to implants as the transferred fat can form microcalcifications that can interfere with mammography imaging studies.

It’s difficult to see the placement of your nipples in relation to your breast fold. If they’re located in line with your breast fold or below, then a breast lift may be suitable. This would reshape your breasts to make them fuller in the upper portion, so they would fill out your bra more. Fat transfer or implants would not be necessary as you’d be about the same size as you are now.

A breast lift on smaller breasts can create a very pretty breast. Because of the small breast size, the full scar pattern tends to be more visible. However, because of the small weight of the breast tissue there is little to no tension on the healing scars and they tend to heal beautifully. If you do not desire an increase in your breast size you would be an excellent candidate for a lift alone.
Dr. Brandon Lambiris Board-Certified Plastic Surgeon–Sarasota, FL

Fat injection can be performed to achieve symmetry; however, a lift is not necessary as there is no ptosis.

Dear un4gettable,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your breasts are asymmetrical in volume, shape, and position. You also appear quite thin. You may be able to get enough fat from the thighs for fat transfers. At size 32, each 100 cc of fat corresponds to 1 cup size change. However, not all the fat survives so you need 150 cc of fat for 100 cc to survive.

Best Wishes,

Gary Horndeski, M.D.

Judging by the photos, the good news is you do not need a lift. It does appear that you dont have much fat so fat transfer is not an option. Fat transfer is usually not a good option anyways for obtaining volume. I like to used fat transfer in patients that have had their breast implants removed and perhaps require a lift. In those patients fat transfer helps fill out the upper pole. Injecting fat to obtain larger breast does not work well and often leads to disappointment.

Hope that helps.

Hello,A breast lift can be performed on smaller breasts as well, but there is no sagging in your case. The issue is primarily a loss of volume within the breasts. Since your nipples are not below the breast fold, you do not require a breast lift surgery. By placing implants that will restore the lost volume and tighten the breast skin without significantly increasing the size, you can achieve your desired result. However, there is a small chance that the excess skin in the lower pole of your left breast may not fully correct, in which case a revision may be necessary for that breast.

One breast has a little more stretched skin because of breast feeding. You would probably do very well with an augmentation. Please go in for a consultation.

You have a few options including small implants and fat grafting. The challenges with fat grafting are twofold… 1) you may not have enough fat to transfer to the breasts. 2) the average patient only gets 1/2 cup size improvement no matter how much fat is available. I know you are hesitant on implants but, you would have a very nice result if implants were placed in the “total submuscular plane” and not just subpectoral. Additionally, I would recommend an armpit incision to not have a scar on any part of your breast.