Breast augmentation or lift after loosing 30 kilos? (Photos)

Congratulations on your weight loss. From the pictures that you sent, it looks like a breast augmentation would be all that you would need for restoration of the volume loss in the upper pole. Be sure to see a Board-Certified PS for your consultation and best in person advice.

Your photos reveal very little sagging following your weight loss. This suggests that if you desire added volume to your breasts that augmentation alone should suffice. The small amount of sagging present suggest that any benefits of a lift would not outweigh the risks, extra scarring, and added cost of a lift.

Implants will fill out your deflated upper poles. They will not cinch the lower poles. If you want volume, go with implants alone. If you want your breasts lifted, then a combination implant plus lift is best. But it must be a vertical breast lift, not an inverted-T "anchor scar" lift. Check out before and after photos. And remember that implants do not really create a lift. If you are still undecided, implants alone are the default option and you can return for a lift. The other question is volume. If you don't want to be much bigger, you may wish to choose an implant/lift combination (augmentation/mastopexy).

Thanks for your question. From your pictures, you seem to be a good candidate for breast augmentation. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

From your photographs, it seems you do not need a breast lift. If you want more volume, then you could certainly see a plastic surgeon to discuss breast augmentation. Good luck.

Dear Madam,
First and foremost, congratulations on the transformation you’ve achieved through your dedication and hard work — it’s truly commendable.
In response to your question, based on the images you’ve shared, I believe that breast augmentation would likely offer the most noticeable improvement in the overall appearance of your breasts. Of course, this recommendation assumes that you are personally open to the idea of increasing breast volume, which is a key factor when considering this type of procedure.
If a fuller breast size is not something you desire, then other options such as a breast lift — or even fat grafting — could still deliver very good results, depending on your goals and anatomy.
In cases where there is only a mild degree of sagging, certain surgical techniques of breast augmentation, can be particularly effective in enhancing the outcome. One such method is the dual plane technique, which can both lift and add volume in a balanced way.
My suggestion would be to first consider whether a larger breast size aligns with what you envision for yourself. Once you feel confident about that, the next step would be to have an open and thorough discussion with a board-certified plastic surgeon, who can guide you through the best approach tailored specifically to your body and your goals.

Dear wiss_20,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss! Your nipples seem to inline with your breast fold which means you could get away without a lift depending on your goals. However, a larger implant would accelerate the rate of sagging, making a lift inevitable in the future.

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based upon your photos, your nipple position appears preserved. With weight loss you have lost upper pole fullness and would likely benefit from augmentation.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

In my practice 9 times out of 10 a patient that has lost that much weight needs a lift in addition to implants. However your skin has responded remarkably well and I would advise just getting implants. The unknown is how your skin will respond to the added weight of the implant. So it could sag more than you like in the short term or in the long term. But a lift could always be done later if indicated.

Congratulations! Your nipple is higher that your breast fold so you do not need a lift. Good luck. Dr. Joe