Breast lift with fat transfer or implant? Which would be more suitable for me? (photos)

Question

Im 26 & lost a lot of weight. My boobs are sagging quite abit and the areola is large too. I was thinking of getting an implant but I was told that if I were to do that, I would have to get a breast implant that is on the larger side but Id prefer a medium sized (B-C cup) one. Another suggestion I got was to go for a lollipop lift with implant/fat transfer. I dont know if Im okay with the scarring so I was wondering if an implant/fat transfer with just areola reduction would help?

Camille Cash, MD · Answer

From your photos you appear to be a good candidate for a periareolar lift with a small implant.  You do not need to get a large implant.  The incision would only go around the areola and the implant can be inserted through this incision.  The diameter of the areola can also be reduced using the same incision.  I encourage you to visit with a board certified plastic surgeon near you to learn more.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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. 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

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  The areolas can be reduced to the size you desire.  At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Look at photos of fat transfer to the breasts on the internet. You will find very few decent results. That's because fat transfer doesn't work as well as you may believe. I agree with the lollipop lift but you need an implant.

Daniel Barrett, MD · Answer

Dear rkawk25,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breast lift with fat transfer or implant? Which would be more suitable for me? (photos)

Answers (10)

Answer: Fat transfer

Answer: Fat transfer

Answer: Tuberous breasts

Answer: Tuberous breasts

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Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Breast lift with fat transfer or implant? Which would be more suitable for me? (photos)

Answers (10)

Answer: Fat transfer

Answer: Fat transfer

Answer: Tuberous breasts

Answer: Tuberous breasts

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.