I had a breast lift and fat transfer about a year ago. Is additional lifting possible? (Photos)

Thank you for your inquiry! Your breasts look in good position for more fat transfer or possible implants to get your desired fullness. We would love to sit down with you and talk about your concerns and goals. Schedule a consult with a Board Certified Surgeon.

Short answer: your surgeon is not correct — additional lifting is possible and, based on what you’re describing, may be exactly what’s needed.Why you’re still seeing droop after lift + fat transferFat transfer improves volume and contour, but it does not provide structural support. In many cases:The lift relies too much on skin tensionFat adds weight without internal supportOver time, tissue settles again, especially if skin quality is limitedThat’s why patients often look better early on, then feel things soften or drop.Is additional lifting safe after ~1 year?Yes.At one year:Blood supply is fully re-establishedScars have maturedTissue behavior is predictableThis is a standard and safe timeframe for revision.What kind of lift actually works in revision casesA repeat skin-tightening or “minor lift” usually doesn’t hold. What does work is a Push-Up Lift (supportive mastopexy).A Push-Up Lift:Rebuilds internal support using your own breast tissueRepositions tissue upward on the chest wallReduces reliance on skin tension (better scars, better durability)Can be done without implantsCan incorporate or preserve prior fat graftingThis is fundamentally different from simply “tightening what’s there.”What your realistic options are now1 Revision Push-Up Lift (most effective)2 Add selective skin excision only if needed3 Fat grafting only as an adjunct, not the main solutionWhat won’t reliably help:More fat transfer aloneNon-surgical tightening devices“Mini” or crescent revisions

Additional lifting can be done with silicone implants. Otherwise it is not suitable because you had a surgery before.

Dear KFar19,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

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

A breast lift is simply removing some of the excess skin from a breast and retaining all of the volume of the breast, while moving the nipple/areola complex to the correct anatomical position on the breast. There is always some relaxation of the skin after a breast lift, and should that relaxation and settling be too much, a slight tightening of the skin can easily be done, even without moving the nipple/areola at all. This can frequently be performed under local anesthesia, especially in patients with a small breast size. Best wishes.