Breast lift with or without implants? (Photo)

Hello!
This is a good question, and a common concern!
From your photos, you may be a good candidate for a breast lift, without a reduction and without implant placement. It seems as though you have enough breast tissue that will allow for that cleavage and fullness you desire to have again, without the need for implants.
As always, an in-office consultation is required to really examine your breasts and your own unique anatomy, as well as discuss the procedure and any questions you may have.
Best,Dr. Tanovic

Hello and thank you for your question. From the pictures you have provided, you have some striae (stretchmarks) present throughout both breasts, grade 1 ptosis (mild drooping) on both breasts, and slight asymmetry with the left nipple areolar complex (NAC) appearing slightly smaller and lower compared to the right. You are satisfied with your volume. You would definitely benefit from a mastopexy (breast lift) to help improve the perkiness and symmetry of your breasts. Given the significant amount of excess skin present in your case, you would need an inverted-T incision pattern ("anchor" scar)- this would allow for resection of the most skin and the best control over reshaping the breasts to an aesthetically appealing result. Since lack of volume is not the issue, you would not benefit from the implants. The breasts and skin can change a lot over 10 years, especially with all the physiological changes of pregnancy, childbirth, breastfeeding, and weight fluctuations. As a result, your breasts can definitely be made more perky and symmetric, even if they won't be all the way back to the same breasts you had 10 years ago.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon