Do I Have Enough Breast Tissue for a Lift Without Implants? (photo)

Hello,

Great job loosing weight!  It matters not if your breasts are small or large, breast lifts do not restore the upper pole of the breast very effectively, no matter how 'high and tight' we get the breast.  This is because after surgery our body tissues always regain some level of laxity, which in turn allows breast tissue to drop out of the upper pole and into the mid body of the breast, contributing to the enhanced projection of the breast.

A breast implant placed under the muscle in conjunction with a breast lift will give more reliable and permanent upper pole fullness, and if desired, more volume.

If you would be happy with high and tight and perky, then no implant  necessary.  I think it would be a great result.  If you want a more full upper pole, then an implant is required; also a great result.  You certainly don't burn any bridges having a lift without an implant and seeing how you like it after 6 months to a year.

Best of luck!

Thank you for the question and pictures.  Congratulations on your significant weight loss; you should be very proud of this accomplishment.

Whether or not you  will benefit from the use of breast implants will depend on your personal goals in regards to breast size/shape. In other words, what you consider a “pleasing result” is really what matters and what should be communicated with your plastic surgeon. My best advice is to choose your plastic surgeon carefully and communicate your goals carefully as well. In my practice, I find the use of goal pictures very helpful during this communication process. Otherwise, as you can imagine, "pleasing result” may mean different things to different people.

 Again, careful selection of plastic surgeon and careful communication will be key.

 Best wishes.