Age 45, after weight loss. Augmentation possible without a lift? (photos)

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos and narrative, you would likely benefit from a lift in conjunction with an augmentation. This is common after weight loss to address lax skin and upper pole volume loss.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

I would highly recommend a breast lift in order to restore proper breast shape/volume/nipple position. Placing an implant alone would not lead to a satisfactory result in my professional opinion.

Thank you for your inquiry! Typically, a lifted is recommended when the nipple sits below the fold under the breast. We would love to meet with you to discuss your options. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Thanks for your question. From these pictures, it seems you would be a good candidate for a breast lift with implants. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

After massive weight loss, sagging is nearly inevitable. According to your pictures, despite that you’re taking self pictures, your nipples are at the lower position than the position they need to be. You can achieve excellent results with breast lift and augmentation surgery

The ideal type of a lift that you would need would be a anchor lift, which is a full breast lift in order to have good long lasting results otherwise the weight of the implants with due time will weigh over the condition of the skin and can give you the opposite of what you’re looking for.

Thanks for your question!
It looks like you would benefit from a breast lift with placement of implants. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Hi amberbox01,
A breast augmentation can help restore the fullness and depending on the size of the implants can sometimes also help lift the breasts. After reviewing your photos as well as your expectations, it looks like you would benefit from a breast augmentation and would most likely need a lift to help bring your areolas/nipples up to where they were previously. However, I would recommend consulting with a board certified plastic surgeon in person in order to determine their recommendations after evaluating and examining you in person. Hope this helps!

Your nipples are located below your breast fold therefore a lift is recommended. Without one your implants would sit low on your chest and not give you upper pole fullness.

Thank you for your photographs. It appears that you have a grade 2 ptosis, which is your breast and your nipple are below the level of the fold underneath your breast. If you augment your present breast, the additional weight will cause additional ptosis and your breast will sit lower. In order to elevate your nipple to its correct position, which is above the level of the fold underneath your breast, you would require a lift in addition to your augmentation. This combination would give you the volume increase that you seek as well as the correct nipple position and the best youthful contour to your breast. Additional thoughts are that your skin quality may not be as good as possible after your weight loss and in order to retain your lift results as long as possible, a acellular matrix mesh could be inserted to provide additional strength to your tissues. Best wishes.