For tear drop shaped breasts, would just a Breast Lift work or do I need Implants too? (photos)

Thank you for your question and photos.It is almost impossible to determine how much breast tissue you will end up with after an 80 pound weight loss. However, there is new technology where you may not require an implant to give you the shape you desire. The Ultimate Breast Lift is a technique where vertical scars are not necessary and implants are not required to achieve full cleavage and upper pole fullness. Look into it. You will be surprised at the results.Best wishes,Gary Horndeski M.D.

Thank you for your question and photos! It is normal for the breast to lose its
firmness and perkiness over time, which is accentuated with age,
pregnancy/breast feeding, weight gain/loss, and gravity. This ultimately
results in ptosis, or sagging, of the breast with a “deflated”
appearance. Women often seek the mastopexy, or breast lift, procedure to
regain the previous youthful appearance of her breasts and desire that
uplifted and perky appearance of her breasts. Women report increased
confidence, self-esteem, and femininity once she achieves this desired
shape and fullness. Breast lifts may or may not be performed with
implants – the implant would add increased size but also greater
fullness in the upper pole of the breasts which creates more cleavage.
The implant itself will add these things - given your photos, a breast
lift alone is a reasonable decision. It us also common for the areola
to enlarge and stretch during these changes. The lift will also serve to
raise the nipple areolar complex to its appropriate position above the
breast crease and at the most projecting portion. In addition the areola
size will be decreased, which is often desired by the woman. Given your photos, a lift would at least be necessary to improve the appearance - the decision for implants will be up to you.So,
the changes of your breasts are normal and will continue to occur. The
decision for a breast lift will be up to you...depending on how much you
are bothered about the shape as well as your concerns. Consult with a
board certified plastic surgeon well-versed in breast surgery and s/he
will assist you in deciding if a mastopexy will be the right decision
for you. Breast procedures to simply improve shape or appearance
typically are considered aesthetic procedures and do not qualify for
insurance coverage. Thank you for your question! Hope that this helps.
Best wishes for a wonderful result!

    I would recommend weight loss prior to determining the need for implants in addition to the lifting.Kenneth Hughes, MDLos Angeles, CA

Hi.  Your idea of doing weight loss first before your mommy makeover is a good one.  A lot will change in your breast and tummy shape with your planned 80 lb weight loss.  While right now, I would say that you could get a nice result with just a lift alone, I'd really want to evaluate you after the weight loss is completed, to allow a more accurate assessment.All the best,

Hello and thanks for your post. I usually recommend you lose your goal weight before having surgery. Your breasts and tummy will likely look different and you might need breast implants to achieve your desired cup. Post your photos and seek ideas again when you're -80. Best wishes, Dr. Aldo.

If you are planning on loosing 80 lbs, you will loose significant breast volume, and you will likely benefit from an implant and a lift at the same time. When the time comes, visit with your plastic surgeon and size yourself with implants to see if you need the additional volume.  Best wishes!

Thank you for your pictures.  A breast lift/reduction will work well for you.  You may consider waiting until you have reached your goal weight prior to proceeding.Earl Stephenson, Jr, MD, DDS, FACS

I use a lot of shaped implants, but they generally are not the best choice for a patient like you in my experience. As has been suggested, it's probably better to lose the weight you're planning on prior to surgery. An anatomic shaped implant in a loose skin envelope is a recipe for problems with rotation of the implant, and you will generally be better off with a round implant which is much more forgiving. Based on your photos, I do not think you can get a good result without a mastopexy (breast lift) over the implant.

It is not possible to make an accurate prediction of how much breast volume you may lose with 80 pounds of weight loss, so the answer to your question will have to wait.I suspect based upon your breast size now that there will be sufficient tissue to do a lift without requiring implants, but time will tell.Good luck with your pursuits.

I would suggest that you focus on a healthy lifestyle and losing weight safely.  You are talking about losing nealry 40% of your current body weight and certainly your body will look much different then than it does now.  No one can predict what your breasts will look like then or know what your aeshtetic goals will be at that time. Good luck with your lifestyle goals.