Anchor lift with auto augmentation? (Photo)

I always endeavor to use the smallest scar pattern possible, which would be a vertical.Kenneth Hughes, MDLos Angeles, CA

I agree you need a full anchor lift, but think you may have enough breast tissue to avoid adding an implant.  The so called auto augmentation with fat adds very little volume and you can expect to pay a lot for very little benefit.  Get the lift first and see where you are after that.  Good luck!

A breast lift if no tissue is removed from the breast is an autoaugmentation. Mastopexy techniques can not maintain upper pole fullness and that is why surgeons use small implants to enhance breast shape.You have great volume and will have a very nice result. Fat grafting to the upper pole of the breast at the time of the lift is another way to achieve upper pole fullness with out having to use an implant. The degree of upper pole fullness you desire will need to be described to your surgeon to give you the proper guidance.Seek out a board certified plastic surgeon with experience in fat grafting.Good luck and I hope this was helpful.