Is a breast lift followed by implants 6 months plus the best approach in my situation? (Photos)

Hello and thanks for your questions and photos.  After reviewing your description, photo and list of desires, it seems that you would be a fantastic candidate to have a breast lift using the Bellesoma technique. You will likely look really great after removal of excess loose skin and excess heavy breast tissue. This procedure also typically completely relieves all neck, back, and shoulder pain associated with large, "hanging" breasts.  You've provided great information - the only thing that would be more helpful in order to give you the best advice about your options would be an in-person exam.
Bellesoma is a new breast lift technique that seems like it would be a great fit for you, and would improve the appearance of your stretch marks.  This procedure utilizes 3-D volumetric scanning and a multi-point measuring system to design a customized, precise surgical blueprint exactly tailored to your body and the lifted, perky breasts that you desire. The Bellesoma procedure reduces the sagging of your breast, lifts your breast and reduces areola diameter, preserves the nipple sensation and ability to breast feed, and looks as full and perky as if an implant had been placed without using any implant, so no need to compromise.  One of the huge positives of this technique is that there is no vertical incision traveling down the front of your breasts.  If you would like to add more fullness and volume, a natural fat transfer using your own tissue can be performed after your lift to give you the look you're wanting.
Some of the differences between Bellesoma and the traditional breast reduction/lift techniques:
-Bellesoma creates upper pole fullness and projection that traditionally needed an implant to achieve.
-There is NO vertical scar, only well-hidden scars in the fold under the breast, and around the areola.
-The breast is dynamically supported by attaching it to the muscle, so there is no recurrence of sagging which is expected with traditional lifts or reductions.
-The entire central portion of the breast is undisturbed, so nipple sensation remains intact and is very unlikely to be compromised giving the best possible chance to maintain sensation.
-For absolute best results, patients should have a stable weight and have a BMI under 30.
The procedure is accomplished by using the skin of the lower pole of the breast (the part below the nipple that sits in the bra cup) to shape the whole breast into a perky dome, then straps are made of the extra skin, anchoring it to the underlying chest muscle so that there is virtually no chance of repeat sagging.  The skin that above your nipple and below your collar bone is utilized to cover the perky, lifted dome that has been created and then a new (usually smaller) circular opening for the areola is placed at the high point of the cone, creating your new lifted, full and shapely breast.
From your description and photo, you seem to be a very good candidate for this new technique and should really get the look that you are desiring without implants or unnecessary visible scars. I would recommend that you search for an ABPS board certified plastic surgeon who is also a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons in your area or an area that you would like to travel to who offers the Bellesoma technique to discuss your breast lift and possible results.  Make sure to look at the before and after photos!  My office staff and I would be happy to assist.
Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of  Plastic SurgeonsCastle Connolly Top DocReal Self Top 500

This is possible but not recommended.  It would not be logical to remove perfectly good breast tissue and replace it with artificial implants.  Instead, I recommend The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.       Best Wishes,Gary Horndeski, M.D.

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast lift  with implant in your case for best result you can apply for position sub glandular , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.