Is it wise to remove 75-100cc of breast tissue from lower pole with an uplift and implants? (270cc round, under muscle) (photos)

I would recommend doing the lift and repositioning your lower breast tissue to a higher position and keeping all the tissue for better support. I would suggest placing the implant behind the muscle for better upper breast fullness, hiding the implant edge, and better support to the implant. I do like the idea of around 270 cc's for some extra volume, but not heavy to stretch your tissue again. One thing, your breasts sit low on your chest and your breast bases cannot be raised. You will not have high perky breasts because of your anatomy.

Under no circumstances should you have tissue removed from your lower breasts. I would suggest you see another surgeon. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, 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. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

In certain types of breast lifts a block of breast tissue is removed at the six o’clock portion of the breast. This is done to enable the surgeon to “cone” the breast tissue. That’s the rationale. Usually less than 100 grams