Which procedure would help me achieve volume and target loose skin after weight loss? (photos)

Dear Emg25,
based on your photos, it looks like you would need implants and probably breast lift in order too get good results. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You could have breast augmentation using silicone or saline implants. Depending on how large of implants you choose, you may not need any skin removal. If you choose smaller implants, you could have a benelli or traditional lift to remove excess skin. If you are not interested in breast enlargement, you could just have an incision around areola and inside armpits to remove excess skin. If you would like to be seen by our office for a consultation, feel free to reach out. Smith Plastic Surgery 702-838-2455

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

You have a lot of extra skin. You would need a lift along with an implant under the muscle. Just don’t go too large because your thin skin won’t be able to handle it

You are very thin and you can see your nipple-areola complex is at the level of the 6th rib, which is too low, and it should be at the 4th rib. You will need a breast lift which will take care of the excess skin. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

I recommend a breast augmentation with a lift for this, there are many different implant sizes you could try

Congratulations on your weight loss! first, I would suggest an augmentation, which will pick up a fair amount of skin. Once healed, then consider a lift for any excess skin that is left. As thin as your tissue is, I would not suggest doing the augmentation and lift at the same time.

hello. I recommend that you perform a breast lift with implants and a torsoplasty to remove the excess skin in your armpits and probably your back.

In your case, volume restoration is best done with petrol implants. You don’t have a lot of soft tissue coverage, so ideally, the implants should be placed underneath the pectoralis muscle with as much muscle coverage as possible. Your nipple position is excellent, so it doesn’t appear that you need a lift. Depending on the size implants you get, you may or may not be left with some skin redundancy but most likely a modest size implant will take care of both the skin and volume issue.
I don’t see any other alternative to this that would be of quality outcome. You are not a good candidate for fat transfer, because there is insufficient tissue to support the grafted fat. I suggest having multiple in person consultations with local plastic surgeons who seem to have a strong track record for doing breast augmentation surgery.
There are generally three characteristics or variables involved with quality breast augmentation outcomes. The first is the patient’s candidacy for the procedure for which I think you are a good candidate, the second is the choice of implant in regards to type size and shape. Period. The third variable is the technical ability to place the implant correctly in the anatomically correct position. In your case, I believe that should be under the pectoralis muscle with a low separation of muscle from its origin as opposed to what some referred to as a dual plane augmentation. (attempting to maintain as much muscle coverage as possible over the lower part of the implant)
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. And experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. A highly experienced surgeon should in fact have access to 100s or preferably thousands of before and after pictures. Being shown only a handful of pre-selected images, or of patients, whose body characteristics are very different than your own. It’s insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures the surgeon has actually performed. Ask each surgeon what their most common revision is , what revisions are typically done, what their revision rate is, and what the revision policy is.
The more consultations, you have the more likely you are to find the best provider for your needs.
Breast documentation is relatively straightforward and most plastic surgeons have experience doing the procedure. Still, there is a significant difference between those who mastered this operation in regards to consistency and long-term quality outcomes.
Best,
Matt Hagstrom, MD.