Will I need implants to create the full plumper breast look? I am currently 235 lbs at 5'8. (photos)

You are a great candidate for a breast reduction. You will see a dramatic difference with reshaping, perkiness and proportion. No need for an implant. Also, it is usually helpful to add liposuction of the front bra roll (side breast) to maximise the cosmetics of the breast.I would not hesitate to proceed. Thank you.

In order to get more volume in the upper pole of your breast, you will likely require breast implants. While a breast reduction will lift the breast and reposition the lower pole, it does little to restore upper pole fullness. This can generally only be done with a breast implant. In order to do this safely, you will need to have the reduction mammaplasty first, and then place implants at a later time.

Thanks for your question! I would not suggest implants with an initial surgery. I think you would benefit from a dramatic breast reduction. Then, you should wait and see how you feel with your new breasts. You may be happy with what remains. Good luck!

Hi there,
No I do not believe you will need implants in order to achieve a fuller look after breast reduction. You have larger breasts with plenty of tissues which will allow you to have fuller breasts. Be sure to discuss internal support with your surgeon as you wants your results to last as long as possible.
All the best

The technique I recommend is The Bellesoma Method. This will reduce and 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 pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Hello dear. Since you already have abundant tissue, I can mold your own tissue to give you a firm, rounded shape without the need for implants. However, if you want extra projection or upper cleavage, you may consider using very small implants only if you really want more roundness above the knee. You can contact us at 829-554-6062 for an evaluation and to see which option is best for you.

For you, I suggest doing the reduction only and avoid implant. If implants are added, they need to go behind the muscle and be small. Your now sagging skin has been stretched and will not support heavy breasts again. Going down to the smallest safest size is best for long term good results. Implants can be added later if needed.

You appear to be a good candidate for a breast reduction. You can also consider adding autoaugmentation. This approach uses your own tissue to create upper pole fullness without implants. This is different than a fat transfer. I've included a video on this that I hope you find helpful.

Based on the information included, you may want to do this as a staged procedure.
The vertical length of your breast makes having a breast reduction by itself a fairly high risk procedure.
I suggest having a few in person consultations with plastic surgeons in your community to get a more accurate assessment and understanding of treatment options.
Despite your Previous weight loss, you should still lose more weight in order to improve your candidacy for the procedure.
Doing a breast reduction, lift and implant augmentation in one procedure seems like a fairly high risk operation.
Best,
Mats Hagstrom, MD