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

Question

I have severe bilateral macromastia with at least 900-1000 g of excess breast tissue per breast. There are no palpable breast masses. The nipple to sternal notch distance is 37 cm on the right and 38.5 cm on the left. The nipple-to-inframammary fold distance is 16 cm bilaterally. There is no palpable axial lymphadenopathy. I have lost a lot of weight. I am currently 235 lbs at 5'8. I want smaller plumper breasts. I am having a breast reduction/lift. I am 40 years old with one child.

Joel Patrick Maier, MD · Answer

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.

Ryan Rebowe, MD · Answer

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.

Scott C. Lindsay, DO · Answer

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!

Tyler Frew, MD · Answer

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

Gary M. Horndeski, MD · Answer

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.

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

Answers (9)

Answer: No you will not

Answer: No you will not

Answer: Bellesoma Breast Reduction

Answer: Bellesoma Breast Reduction

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (9)

Answer: No you will not

Answer: No you will not

Answer: Bellesoma Breast Reduction

Answer: Bellesoma Breast Reduction

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.