Natural Saggy C Cup Breast Tissue "Removal" Prior to D Size Implants? Possible?

You have a very common problem that is seen daily in plastic surgeons offices.  There really is no reason to remove your natural breast tissue before adding an implant, in fact this will make your result less attractive and lead to a higher incidence of complications. What you need is a breast lift to remove the excess skin of your breast and repositioning of your nipple and an implant to give you the overall size you are requesting. When this surgery is performed correctly your breast will look natural and the nipple will sit on the mound of your breast in a normal position. You do not have to worry about your breasts falling off the implants.

Based on the description, you may be a candidate for an augmentation mastopexy.  This is a lift with implants and is very common.  Skin may be excised around the border of the areola (circumareolar lift), or you may need a vertical lift (often called the lolipop lift).  Very saggy breasts require a wise pattern mastopexy.  This results in an inverted anchor scar.  Your lift may require excision of skin and minimal breast tissue along with placement of an implant in the submuscular plane.  In my opinion, the best look is achieved with a frame appropriate implant and a lift.  A common request is to place a very large implant in order to lift saggy tissue.  As you have implied, this merely results in a large implant that is enveloped by a persistently droopy breast. A picture would allow a more conclusive evaluation.  Hope this helps.  Good luck

It sounds like you would need an augmentation and a lift.  During the lift some times there may a be a small amount of breast tissue removed to improve shape and aid in closure of the incisions.  Removal of all of your breast tissue is neither recommended or required.

Dr. ES