Implants After Breast Reduction? (photo)

Thank you for the question and pictures. Your “plan” seems quite reasonable;  if you wish to increase breast size/fullness,  especially upper pole volume, breast augmentation surgery may be a good option for you. Assuming you are pleased with the position of your breasts on your chest wall, additional breast lifting will likely not be necessary. If, on the  happened, you feel like you have some “sagging” present, breast lifting may be helpful, along with breast augmentation surgery.

 I would suggest that you seek consultation with board-certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly.  In my practice, I find the use of goal pictures very helpful during this communication process.

 You may find the attached link helpful to you as you learn more about options.

 Best wishes.

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