Weak skin and broad chest area gap - mesh with the lift/implants to support or should I aim for low profile implants? (photos)

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.

You definitely need a lift. I would do the lift first and add implants later if you like. If you try to do it in one stage you won’t get as good a result. More surgeons these days are two staging a case like yours because your breasts need to be lifted pretty far.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation, breast lift and galaflex mesh. This will give you optimized long term results. I hope this helps.

Dear Inventive943678,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You appear to have plenty of breast tissue, so I suggest just the lift. If you add implants, you add more weight and your stretched skin may stretch again and sag.

Based on the very excellently posted photos I recommend you doing 2 stages of surgery. Stage 1: Full Lift with possible internal mesh. Fees from $8,000+. Stage 2 after 3-6 months healing implants in the 300-450 cc ranges. Fees from $4,00-$8,000. Best to virtual consult with ....