5’7, 190lb after 80lb weight loss, want an hourglass shape & can I get implants without a lift? (Photos)

I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time, a brachioplasty can be done to remove the excess arm skin & fat. After this has been completed, you can consider a tummy tuck with mesh, if you are not planning future pregnancies. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After this is done, you can consider a posterior lift.

Best Wishes,

Gary Horndeski, M.D.

I recommend doing liposuction and a full Abdominoplasty to help get more of an hourglass shape. As for your breasts, I do not recommend implants without a lift. A lift could give you perky, full breasts. With the breast lift, the scarring isn’t terrible after everything heals, and you could choose to put in implants or have fat from your liposuctioned areas transferred to your breasts. During the mastopexy, or breast lift, we can also make your nipples smaller or leave them the same size you have if you prefer. Would love to see you for a consultation to go over things in more detail here at Smith Plastic Surgery.

Thank you for your question regarding how to maintain an hourglass shape after significant weight loss, and whether you can undergo breast augmentation without a breast lift. Congratulations on your successful weight loss journey.

Analyzing your current shape, the curves you have due to excess skin and fat above your waistline and over your hips give you an hourglass figure. A tummy tuck may lead to the loss of some of these curves due to the removal of excess skin and fat.

In regards to your breasts, I would recommend a combination of breast augmentation with a lift. If we were to only place a breast implant, it could result in what we call a 'snoopy dog' deformity, where the breast tissue hangs over the implant, leading to an unnatural appearance. A breast lift, likely an anchor lift, would be needed to achieve the best results.

Therefore, my recommendation would be an extended tummy tuck, possibly even a 360 circumferential lower body lift, to address the abdomen, hips, and buttocks. This could be combined with an anchor mastopexy (breast lift) and breast augmentation.

If you're not satisfied with the curves obtained after a body lift, you may want to consider a procedure to enhance the hourglass figure, sometimes known as a vertical torsoplasty. This procedure, however, cannot be performed concurrently with a tummy tuck or body lift as it compromises the blood supply to the anterior abdominal flap. Instead, this hourglassing procedure can be done approximately 4-6 months after a tummy tuck or a body lift. During this procedure, an incision is made from your armpit down your sides to your hips, and an elliptical area of skin and fat is removed. This results in the elimination of fat from your bra line and accentuation of your hourglass figure.

Please note, this would require two separate surgeries, but the results should be worth the wait. As always, these suggestions should be tailored to your specific circumstances and desires, in discussion with your plastic surgeon.

Sincerely,
Dr. Katzen

An abdominoplasty with a diastasis repair and liposuction of your waistline (including the back) will achieve a nice hour-glass contour. Breast implants will raise the position of your nipples a bit, but not enough to place them in the center of the breast mound (ideal). So my recommendation for your breasts is a breast lift with or without an implant.

Congratulations on the weight loss that is an amazing achievement. Combining an abdominoplasty with liposuction can help to achieve a small waist, it can also help to provide more shape posteriorly. A second option is to perform a 360 lift, basically a tummy tuck that goes all the way around. This is a bigger recovery, but often provides a more dramatic result. From the photos you have provided, it appears you have loose skin on your back, so this could be of benefit. Lastly, it does appear you would benefit from a breast lift, rather than implants alone. The deflation and downward pointing nipples will result in a “waterfall” deformity with implants alone. It will look like the nipple is falling off, or hanging off the implant. A second option would be to perform fat grafting at the time of mastopexy. This can avoid needing an implant, but provides a slightly different look than an implant can achieve. Hope this has helped. Again congratulations on your weight loss, and good luck on the remainder of you journey.

Thank you for your question regarding expectations after procedures and for including photos. They are very helpful!

First, congratulations on your weight loss! That is amazing!

You could add liposuction to your flank area to prevent you from looking boxy or square.

If you choose not to have a lift, that is certainly your choice. I would strongly suggest that you talk about your goals and realistic expectations with and without a breast lift with your surgeon.

To be sure, I recommend that you have an in person consultation with two or more experienced board-certified plastic surgeons in your area.

Thanks for your question! I do think you would be a great candidate for a tummy tuck and liposuction 360 to get a contoured waist line. You have a cute waist in there! I would not recommend implants without a lift. You have enough droop that it would not be a good option for you. Best of luck!

Thank you for your question, and congratulations on all that weight loss. You could certainly have a breast augmentation without a lift. The best results really would need to have a full scar breast lift . You have what we referred to as grade 3 ptosis where are the nipple areola complexes is at the bottom portion of your breast, looking down at your feet. Proper nipple position will be much higher up and putting an implant will not address repositioning of the complex. NAC complex being in the right spot is an important aesthetic aspect of an attractive and youthful looking breast. Just to let you know, I think in general, you could get an outstanding result with a mommy makeover that would include a full scar mastopexy with her without implants, tummy tuck with additional liposuction of your lower and mid back. Ultimately, though you would also be a candidate for a dermal lipectomy of the upper back to help with those brush trap rolls, and possibly even a lower body lift to address laxity of the buttocks skin, and some in the thigh as well. Good luck with your body contouring journey. I hope this has helped.

Congrats on your weight loss! Based on posted photos- you appear to be a candidate for a circumferencial abdominoplasty/ belt lipectomy and circumferencial breast lift/upper back lift with or without implants. IMO you are not a candidate for implants alone. I suggest that you seek an experienced Board Certified PS who specializes in body contouring post weight loss and discuss in details your options

Congratulations on the weight loss! Tummy with lipo is perfect for you if you want an hourglass figure. As far as your breasts, well, most of your breasts are bellow you breast fold. This means you need a lift. Implants alone will not work. A breast lift with implants is your ideal procedure.

Best of luck,
Dr. Miguel Mota

Hi! You're a very good candidate for a mommy makeover and this will address the 2 areas of concern - breasts and belly. For your breasts, due to the sagginess (grade 3 ptosis) I would recommend a breast lift with or without implants. Putting only implants will not result in a good shape (implant will be higher in the chest and the breast drooping lower). And a tummy tuck doesn't have to leave you boxy... You have a good foundation as your waist is thinner than your hips, which will be accentuated after a good muscle repair and a combination of liposuction to the waist/flank area. Hope this helps!