28 years old, no kids, 100 pound weight loss - Breast lift and implants or just implants? (Photos)

Question

Hi, I’m a 28 year-old woman who lost 100 pounds about three years ago and I’m looking to get my boobs done so that they look natural but a lot fuller. I have gone to two different surgeons. The first one said I absolutely need to get a breast lift. The second surgeon told me that because I want a very natural look that I could get away with just doing implants, especially since I haven’t had kids yet and want to within the next 3-6yrs looking for more information and guidance, thank you!

Harry T. Haramis, MD, FACS · Answer

Unfortunately, large weight loss can negatively affect the breasts.

I usually do not recommend a lift if you are planning children soon, as the pregnancies may affect the results. Also, a lift may interfere with ability to breast feed.

In my experience, implants alone can restore fullness and some “lift” Breasts such as yours, may still be a little low, slight hanging over but this looks more natural. If you are accepting of this, than implants alone are recommended. (Implants should have little change after pregnancy- it’s the breast tissue over the implants and skin which may change).

If you want very perky, high and tight breasts, then a lift with implants would better meet that goal, but may change during and after pregnancy.

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

Gary M. Horndeski, MD · Answer

I recommend a breast lift using the Bellesoma. 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. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John LoMonaco, MD, FACS · Answer

Good work on your weight loss.

Your nipple position and fold tell me you'd don't need a lift. The fact that you are considering pregnancy near-term also argues against a lift.  An implant only makes the most sense.  Don't be surprised if your surgeon wants to go above the muscle....this is often the best way to position the implant in patients with your type of breast.

Steven H. Wiener, MD · Answer

Thank you for your question and photos.  Congratulations on your weight loss. I reviewed your photos, and your nipples appear to be in an excellent position.  This is classified as type 1 ptosis.  In your case I would recommend a breast augmentation, and not a breast lift.

28 years old, no kids, 100 pound weight loss - Breast lift and implants or just implants? (Photos)

Answers (4)

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