Breast lift with or without implants? (Photo)

Dear Polite641556,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello polite641556,

Thank you for your question and the pictures regarding a breast lift with or without implants, as well as sharing your history. In your comments, you mentioned not wanting to increase your breast size. If you prefer not to increase in size, I would advise against using an implant or a larger implant. Consequently, I would recommend only a breast lift. However, considering your age and history, it's unlikely you will achieve significant upper pole fullness with a lift alone. To attain upper fullness, I suggest inserting an implant, coupled with the resection of a significant amount of breast tissue to maintain your current size. This approach, combining breast augmentation with tissue reduction, should also include a full anchor or inverted T breast lift. I hope this provides clarity to your query about a breast lift with or without implants. Wishing you the best.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

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