Can I achieve upper pole fullness with a breast lift? I do not want implants (Photo)

Hi Kristie,Thank you for your question and photos.You are wise in not desiring implants as they add another set of risk and complications when combined with lifts and down the line. Your skin and breast tissue appears to be of good quality to obtain a beautiful result using the Ultimate Breast Lift method which does not require breast implants for upper pole fullness and has completely eliminated the vertical component associated with traditional lifts that end up weakening the lower skin envelope. Ideally, it is best to reduce breasts that are too large to fit your chest. Otherwise, they can flare out from the sides and that does not look esthetically pleasing. In addition to improved shape and position, the weight of the breasts is transferred to your chest muscles to minimize the pain associated with larger breasts and keeps them in place for years to come. Best wishes and kind regards,Gary Horndeski M.D.

Given the fact that you want to go down in size, I would recommend a breast reduction. Schedule a consultation with a board certified plastic surgeon in your area (look for ones on the American Society of Plastic Surgeons website) whose breast reduction work you like. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

Dear Ms. Kristie9901,Thank you for your your questions.Unfortunately without a exam and measurements I can only make generalized but hopefully helpful comments.The viscoelastic properties of skin can only support a limited amount of weight before it stretches. The adage "the bigger you are the faster you will fall" could not be more true.In order to obtain a long term "upper pole" fulness you will need a breast implant or perhaps not as beneficial fat injections, not so much to increase size but create a fullness in upper breast mound.The type of lift/ breast reduction will depend on:1) your desired look2) the elasticity of your breast tissue 3) the position of you nipple nipple areolar complex (NEC)4) the size of the implant you chooseDepending on how much excess skin and desired shape the three main types:1)Peri areolar = doughnut shaped scar around NAC2)Vertical = lollipop shaped scar 3)Inverted "t" = anchor shaped scarEach of the above techniques involves a progressive removal of excess skin and builds on each other to lift and contour the skin "bra" to the shape of the breast desired.So simply stated you can revise/convert a periareolar lift to a vertical to a inverted "t" as necessary.Scaring is always a concern. However there are various postoperative "anti scar" programs to optimize, reduce, minimize and treat scars.In my experience if the desired goals of shape and positioning of the NAC is obtained .... The patients rarely complain about the scars.Unfortunately, there are no "special" techniques to achieve your desires.I suggest you make out a list of your questions and select several nude "model" photos of what your desired goals/look would be and then schedule several different consultative appointments with experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and who are ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes, R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600