Would I be a candidate for a breast lift without implants? 27 y/o. 5'9 and 224 lbs. Recently lost 120 lbs (photos)

Hi. Congratulations on your weight loss! You would benefit from a breast lift. I nearly always do a vertical, or lollipop breast lift. The anchor lift should only be done in very droopy breasts; in my very busy breast practice I do the anchor lift only every few years. You must understand that a breast lift alone will not give you upper pole fullness, despite the claims of some surgeons that they can move your own breast tissue into the upper breast. A breast lift alone will not provide any fullness, firmness, or shape. For that reason a breast lift alone is often not a home run: the patient has scars, but no upper fullness and no firmness. I have found that even a small implant makes the operation much more pleasing to patients. Another option might be fat grafting, but this is an unreliable operation that often needs to be repeated. The combined lift and augmentation is a challenging operation. I advise you to see a very experienced plastic surgeon with expertise in aesthetic breast procedures. All the best.

Congratulations on your weight loss! Based on limited photos you appear to be a good candidate for Bilateral Extended Mastopexy/lift with axillary excisions with or without implants . I do not believe that lipo alone (based on photos) is adequate. Since you did not post your back photos- it looks as though (based on the lateral look) that you would benefit from a circumferencial breast lift ( to lift your upper back as well).

A breast lift would improve the sagging or ptosis to your breasts, creating a more youthful appearance. You will likely lose some volume with the procedure. If you have a desire to maintain or increase your volume, implants would be recommended.