Does breast density determine the ability to have a good outcome for having a breast lift with auto augmentation?

The breast lift
technique I recommend is The Bellesoma Method. 
This technique 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 and the ability to breast
feed are maintained if not injured from previous surgeries.  The weight of the breast is transferred to
the underlying pectoralis major muscle, which will prevent inferior descent.  This technique is independent of breast
density.        Best Wishes,Gary Horndeski, M.D.

According to your mammogram results, breast lift should give you the results you desire. Removal of lose skin will lift and reshape your breasts.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. 

It looks to me that we already have an answer; removal of current implants and breast lift. If you do not like implants and skin and soft tissue are too stretched and atrophic, it is possible to place fat grafts to bring extra volume and shape the breast. Good luck.

Hello,In reality, the durability of a breast lift is inversely proportional to breast mass and volume, i.e. big, heavy breasts will sag sooner and more after breast lift. Breast glandular tissue (which makes a breast dense) is denser and firmer than fat, so it contributes to a loss of lift. The other important factor is skin elasticity, with younger, thicker skin more likely to maintain results. The employment of absorbable mesh like Seri and Galaflex, or biologic sheets of protein matrices like Strattice, don't seem to help very much on any consistent basis. Keeping this in mind, the use of fat grafting or a subpectoral implant is the best way to give upper pole fullness and return volume after a breast lift/reduction. Go visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

Yes, it matters a lot in my experience. A fatty breast cannot be sculpted nor can it stay in the uplifted position as well as a more dense, glandular breast.  The other major factor is the elasticity and thickness of the skin.   

Thank you for your questions. These are good things to consider. The density of the breast has more to do with how the breast ages than with your candidacy for a procedure. As women age, the breast tissue gets replaced with fatty tissue and the breast begin to droop and sag. This is a natural process. If you are considering a breast lift with auto-augmentation, your fatty breast would be more likely to influence how the result ages or settles. A fatty replaced breast would tend to settle more and provide a more natural result with less upper pole fullness than a young fibrous breast. Hope this helps!

In my experience the breast density is not as important as the skin looseness.  At 62, hopefully your skin is elastic enough to make you a good candidate.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Thanks for your inquiry, without a picture or a better an exam it is hard to advise.  If you have enough breast tissue, I am not sure that the density alone would affect the result that much, please ask your surgeon to comment.  

I wouldn't concern myself too much with what the radiologist said about the density of your breasts. An in-person examination by a board-certified plastic surgeon is more predictable in determining how much breast tissue there is to work with. No matter what you have, we'll always be able to do something to improve the situation and if there is not enough volume then you can always fat graft secondarily. Hope that helps! 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Your degree of breast ptosis, nipple position, skin laxity, and overall breast volume are much better indications for a breast lift rather than a mammogram.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon