I'm 34 y/o, had no kids, lost some weight, do I need a lift? (Photo)

Hi, thank you for sharing your question. You have glandular ptosis and may benefit from a lift. An in person consultation would help to determine the best plan.

Yes — a lift would help, but the type of lift matters more than the label.After weight loss, even without pregnancies, breasts often look:Slightly deflatedLower on the chest wallLess firm, especially in the upper poleIn these cases, implants are not required to look younger — what’s missing is support and shape, not necessarily volume.Why a Push-Up Lift is the right optionA Push-Up Lift (supportive mastopexy):Repositions your own breast tissue higher on the chestRestores a fuller upper pole using existing tissueImproves firmness and symmetryShortens the “long chest” appearanceDoes not make breasts bigger unless you want them to beUnlike minimal lifts (donut/crescent), this approach actually reshapes the breast mound, so the result looks youthful and natural — not just tighter.Do you need a lift?If your goal is:Fuller, younger-looking breastsBetter upper-pole shapeA more lifted position that lastsThen yes, a supportive lift is the most effective solution. Weight loss changes structure, and that can’t be fixed with bras, exercise, or skin tightening alone.

Thanks for your question. From your picture, it seems like you're a good candidate for a breast lift. Note, if keeping or increasing your size matters, a breast lift with implants would be best. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Dear Fierce169488,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You have ptozis and volume loss. Each problem should be addressed by different surgery. Breast lift and augmentation will be perfect solutions for your desires.

Thank you for your photographs. From your photographs, it appears that you have a ptosis of your breast with a portion of your breast hanging below the fold underneath your breast. A breast lift would help to tighten the skin and shift the breast tissue superiorly. By removing some of the skin of your breast, but keeping all of the other volume, that same amount of volume pushed up inside a smaller envelope of skin will help to plump out that skin envelope and make the breast appear fuller and more youthful as well as sitting slightly higher on your chest. Have a detailed consultation with your plastic surgeon to best understand your options.

A breast lift (mastopexy) could help restore a more youthful, fuller appearance to your breasts, especially if you've experienced some sagging or volume loss after weight loss. The procedure removes excess skin, tightens the surrounding tissue, and raises the breasts to a more youthful position, which may help you achieve a perkier look. If you feel that your breasts have lost volume, adding an implant or fat transfer during the lift can provide additional fullness, particularly in the upper pole of the breast.
Given that you've lost weight, a lift would likely improve the tightness and shape of your breasts. If you're seeking a more dramatic change in size, combining the lift with implants might be an ideal option to both elevate and add volume. Consulting with an experienced plastic surgeon can give you a more personalized assessment based on your specific needs and goals.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thank you for your inquiry! You have volume loss in your upper poles. There are some options to increase that. We would love to sit down with you and discuss your concerns. Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

Yes I definitely recommend you an uplift surgery. This will improve your look tremendously. I need to let you know that your breasts will be slightly smaller in size compared to now. Good luck

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.