100 lbs weight loss- what procedures would help my breast shape look fuller and symmetric? (Photos)

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 then get to choose what looks right for them. 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

Hello! Thank you for sharing your doubts with us. In your case I recommend a breast lift with implants to give you more projection. This procedure should not interfere with breastfeeding. 

Hello dear Inventive86886. The best option is a Mastopexy aka Breast Lift with implants. This procedure should not affect the mammary glands, there is no problem to breastfeed.

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.

Dear Inventive86886,my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss. A lift with implants would look best. Pregnancy change change the lift, but all women are changed.

You would best be served with an augmentation and breast lift (mastopexy). It should not affect breast feeding as the lift does not injure the milk ducts.

Hi and welcome to our forum!
From your photos, I note the distance from the top of the breast bone to the nipples is increased, there is minimal-moderate sag, the nipples reside above the fold at the bottom of the breasts, the breasts are asymmetric, and one breast appears tubular in shape.
The optimal procedure appears to be a breast lift and augmentation. The scars usually heal quite well. Performance of the procedure rarely interferes with future breastfeeding. However, a future pregnancy may "undo" the result of the surgery due to breast changes during pregnancy.
Best wishes...