Want the appearance of braless, lifted D or DD breasts - Do I have to get implants? (photos)

Question

29 yo female, no kids and do not plan on having any. Ive developed breast at a young age and Ive been heavier most of my life. The past 2 years Ive lost about 60lbs so my breast have deflated from a 38 H/G to a 34 DD/DDD. I like the size that I am now when they are pulled up into a bra lol. I desperately want a lift, I like the look of Implants but I am afraid to get them. I just want the appearance of braless, lifted D or DD breast. Do I have to get implants? Thank you.

Thomas Trevisani, MD · Answer

Congrats on your weight loss. Based on your photos- you appear to be a candidate for a breast lift. In the right hands it will significantly reshape and rejuvenate your breasts, however it will not look exactly as your wish pic . I suggest that you seek an experienced Board Certified PS for in person exam

Alan Gonzalez, MD, FACS · Answer

Hello @Powerful405319, thank you for your question. Making a decision about a surgical procedure requires being aware of the expectations that the doctor has provided of what he or she can do. You can improve the shape and form of the breast to appear in harmony with the rest of the body and to be shaped aesthetically. The best aesthetics result for me is a breast that has an adequate shape and proportion, that the projection is slightly conical, that has a slight descent in the upper part so that it looks esthetically adequate. The best course of action is to consult one or several board certified plastic surgeon for more information. Best wishes! Alan Gonzalez MD FACS

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do with your breasts after significant weight loss. Regarding your breast and your desired results, I agree that you definitely need a breast lift. Breast lift would be done with an anchor incision which would go around the areola down the front of the breast, and underneath the breast. This will result in a lifted breast with horizontal and vertical reduction. To achieve the maximum upper fullness of your breasts and the best cleavage. I would suggest a small implant. It doesn't have to be anything large but would maintain the fullness of the upper portion of the breasts. Even though a breast lift can be done on you, over time, you may lose upper pull fullness based on your weight loss of 60 lbs; therefore, my vote is breast lift combined with breast augmentation.
If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office.  Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 breast lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.  Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of  the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery,  and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Leila Kasrai, MD, FRCSC · Answer

It’s not necessary to get implants if you’d like firmer, perkier breasts. However, implants would be recommended if you want significantly rounder breasts. Based on your wish pic, you may get similar results without implants.

Salvador Medina, MD · Answer

There are different techniques for a breast lift in someone like you. We can do a technique without implants and we can have a very nice result. We can lift the breast and nipple, and increase the upper pole volume to achieve a very natural look. We can have a great result without necessarily using implants.
Dr. Medina

Scott W. Vann, MD, FACS · Answer

You have severe sagging and need a breast lift to elevate and reshape your breasts. I do a lot of breast lift/breast augmentation combinations, but I would not recommend  you have an implant placed when you have your lift. I would recommend having the lift done and reevaluate after 6 months to decide if you want to go larger or not. Discuss options with your surgeon. Good luck.

Daniel Barrett, MD · Answer

Dear maydre,
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

Connie Hiers, MD, FACS · Answer

You may have enough breast tissue to just do the lift. Because of all the excess skin, I would suggest doing the lift first anyway and then see how you like your size. Implants can always be added. I do recommend not going too large for your stretched out skin will not support heavy implants. You would probably look and do best with just a lift.

Camille Cash, MD · Answer

Congratulations on your weight loss!  You appear to be a good candidate for a breast lift.  This would raise the position of the nipple and remove excess skin.  You may not need an implant to achieve the look you are wanting depending on the amount of breast tissue you have, but an examination and discussion of your goals is needed to provide a personalized recommendation.

Want the appearance of braless, lifted D or DD breasts - Do I have to get implants? (photos)

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