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!

Auto augmentation
mastopexy is a surgery that repositions your own breast tissue into a more
pleasing and comfortable position Auto-augmentation mastopexy makes the breasts only as much bigger
as there is lower pole breast tissue available to move into the upper
pole.  The lower pole tissue that is moved up is fixed in place with
sutures to the pectoral fascia, so it is not possible for the relocated tissue
to ‘drop’.  

Breast implants add volume (and weight) to the breasts while
auto-augmentation really does not.  Additionally, implants augment the
entire breast, while auto-augmentation augments the upper pole only.  So
for many reasons auto-augmentation results tend to be less prone to recurrence
of droopiness.

Auto-augmentation mastopexy is absolutely the procedure of
choice for a patient who wants a breast lift, who will not have adequate upper
pole fullness without an implant or auto-augmentation, and who is happy with
the amount of breast issue that she is starting with.  If a patient wants
a lift AND fuller breasts (i.e. increase in true cup size), then an implant is
required.