100 lb. weight loss - can I just get only implants or do I need a lift? (Photos)

Question

I’m 28 years old and lost 100lbs 3 years ago I want a natural look not super overdone Is it best to do a lift as well as implants? I haven’t had children yet and will in the next 5 yrs.

Harry T. Haramis, MD, FACS · Answer

For such a massive weight loss, your breasts have responded nicely. Usually, there is a lot more skin sagging.

You are borderline for a lift, in my experience, I usually do not recommend a lift since you are planning children.

Implants alone will improve volume and reinflate, raise breasts for a more natural look. They will not be super overdone.

Dual plane or fully over muscle will give best results.

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

Ted Eisenberg, DO, FACOS, FAACS · Answer

Do I need a breast lift? You might not need one. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. 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 size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

You are an excellent candidate for 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. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

You probably could get implants without a lift, but they won't look very good and there appearance will get worse over a relatively short time. There are a number of things that will make it very difficult for you to get a good result with augmentation alone. First, your nipple areolar complex position is different. If you don't notice it now, you will definitely notice it later. The breast with the lower nipple is also smaller. Simply putting in a bigger implant on that side won't help, as the volume of the implant will be far above the nipple and the majority of the sagging breast tissue. Also, the smaller breast will get a bigger implant, leading to it be more filled than the larger breast that got the smaller implant; one will look much more filled than the other. Your stretchmarks reveal poor tissue elasticity, which will lead to both early and progressive waterfall deformity. Done by an expert, an addition of a breast lift with your augmentation will lead to a beautiful result with minimal scars. Most importantly, after 26 years of a breast forward practice, I can tell you that the vast majority of women have fallen back in love with their breasts again.

100 lb. weight loss - can I just get only implants or do I need a lift? (Photos)

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