32DD breast lift with no implant?

Yes, with each lift comes a small reduction.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon

#RealSelf100Surgeon 

#RealSelfCORESurgeon

Thank you for you question,      The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Yes, a beast lift improves breast sagging and can be combined with a reduction if needed. The amount of tissue to be removed depends on your size goals. Removing excess weight from the breast can help a lift last longer and can help improve symmetry between two breasts that are often different sizes.

Hello and thank you for your question. The best advice you can receive is from an in-person consultation.  A breast lift can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and evaluate their results.  The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question. Without an in-person exam or at least a picture, it can be hard to give specific advice. However, what you are describing is very common. Some slight sagging to the breast can easily be corrected with a small breast lift without significantly decreasing the overall breast size. Make sure you see a local board certified plastic surgeon for a consultation.Best of luck!

Dearsarah1946,many women have overdevelopment of breast tissue and require reductions.  Some of the questions you need to ask yourself are if you are willing to have scars from the surgery, take the risk of losing nipple sensation and other complications in addition to possible problems breast feeding if you plan to have children in the future. I would meet with a plastic surgeon to go over all of these risks and benefits to see if you would be a good candidate for surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

so be careful of what your surgeon charges you for... as its my policy to charge for mastopexies and I am willing to reduce the breasts at the same time by some pre-determined amount designated by the patient.  What you ask for is very doable but it does require an OR and services of an anesthesiologist.  So invest in some consultations and see who does try to charge you for a reduction in addition to your mastopexy and avoid them.

Hi and thank you for the question. Without pictures and a better understanding of your goals it's impossible for anyone on this forum to give you great advice. Your best bet is to schedule some consultations with board certified plastic surgeons in your area who have good reputations for breast surgery. 
Dr West

Thanks for the question. Being a VS 32DD doesn't really help us much as that company is known for their "vanity sizing". But as a general answer to your question, the operation you are suggesting is quite common. A breast lift is a stand alone operation and does not automatically require any reduction of volume. A breast reduction is aimed at reducing volume and always includes a lift. And the reduction can be of a small, moderate, or dramatic amount while doing the lift. If you would like specific information and recommendations, you are welcome to arrange a complimentary examintaion and consultation.