Implants After Breast Reduction? (photo)

The shape of your breasts can be improved and a modest upper pole fullness can be achieved with a breast lift (mastopexy) using your prior incisions.  If you like the size of your breasts in a bra then a mastopexy alone is a reasonable option. If you want to be bigger,  adding implants would be the option.  A combination of a mastopexy and a small implant is another option. Be aware that larger heavier breasts tend to have more recurrent sagging.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the various operative procedures would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD  FACS

La Jolla, California

Implants after breast reduction is a reasonable approach to gaining upper pole fullness. Your photos are difficult to evaluate but it looks as though a repeat lift in addition to an implant would give you a superior result. This could be done with no new scars.

Another thought would be to perform fat transfer to the upper pole of the breast and avoiding an implant completely. This has the advantage of body contouring with liposuction usually from the flanks or abdomen.

Seek out a board certified plastic surgeon to help you understand your options. Good luck and I hope this was helpful.