Breast lift/areola reduction after weight loss. Will fat transfer help gain the results I want? What should be done? (Phtoo)

You have a two-fold problem - dilated areolas, and loss of breast volume. A cut around the areola can reduce the diameter of the areola, and perform a lift. A short vertical scar under the areola may left after this procedure - “lollipop” lift. Fat grafting to the breast is not a reliable way of volumizing the breast. Often the fat does not survive, and the difference is not noticeable. Another factor specific to you is the fact that you are lean. No fat to harvest. The most predictable option would be a petite silicone breast implant performed along with a lift and areolar reduction. Seek out a board certified plastic surgeon, review before and after photos, and ask as many questions as you like. Best wishes!

From your photos it appears you would be able to achieve a look similar to your wish photo with a breast lift (which includes an areola reduction) and a small implant. A moderate profile implant placed under the muscle will give you a more natural look. Visit with a board certified plastic surgeon near you to learn more.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.