Lift with or without implants - can I have a B cup without? (Photos)

Hi, thank you for sharing your question. You are a great candidate for a breast lift without implants. You should be able to achieve a youthful result. Should you want more volume in some areas, fat grafting can be used.

Unfortunately, after large weight loss, breasts usually lose their fullness.

A lift will tighten skin and raise them, however, the upper poles will stay hollow without small implants or fat transfer.

Combination breast lift with implants or fat transfer (via liposuction of areas) would give best results for smaller, fuller and perkier breasts

An exam and consultation with a plastic surgeon is recommended to confirm and discuss your options and expectations.

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos, you would likely benefit from a lift in conjunction with an augmentation. It is important to remember that the lift will tighten and reposition but it will not restore upper pole fullness,
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

You are an excellent candidate for a breast lift without implants. You will see a significant change in your breasts as they will be reshaped, perky and more proportionate. I would not hesitate to proceed as I predict your will be delighted with the results. Thank you for the inquiry!

Thanks for your question. From your pictures, it seems like you're a good candidate for a breast lift. It is difficult to tell from your pictures what the cup size result would be. 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.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear amurillo04 congratulations for your weight loss, thanks for sharing your concerns and pictures will be good to have an in person consultation to have mesurements and sizes, however you could be candidate for a breast lift without implants but you might not have fullness at the top, so maybe a little implant could be a good option, anyways just an option to provide a nice profile.
Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Hi amurillo04! First of all congratulations on your weight loss. You may be a good candidate for a breast lift without implants, however you may not have as much fullness at the top of your breasts. Implants would most likely add that fullness at the top with a more natural appearing slope to your breasts. I would recommend you consult with a board certified plastic surgeon near you that can assess you in person and review their recommendations as well as the benefits/risks of these procedures. Hope that helps!

Hello,After evaluating your photos, I noticed that you have significant breast ptosis and loose skin. Based on your history of weight loss, it’s likely that your skin quality has been affected.In cases like this, a breast lift combined with small implants typically provides excellent and long-lasting results. However, if you are completely against the use of implants, we can reshape your existing breast tissue.Please note that without implants, the breasts will be smaller and may still have a degree of looseness — but they will still be significantly improved compared to the current state.

You are an ideal candidate for a Pushup Lift. With this technique, it is possible to have rounded lines, upper pole fullness and décolleté without the need for any implants, without changing your breast volume or reducing it to the desired size.