Reduction/lift no implants. What are the major factors that will affect final results? (Photo)

Question

I’ve looked at thousands of before and after. Sometimes results are… less than ideal, even from the same surgeon who has photos of cases of amazing transformations. What are the major factors that will affect final reaults? Age/skin elasticity, I suppose. Does it look like I can expect great results even without implants? I really don’t want implants. But I also want a nice round shape. Is it a realistic expectation?

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breasts is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Bora Ok, MD · Answer

Hello from Istanbul! Certainly, you can achieve pleasing results without implants. I'd recommend considering fat grafting to the upper portion of the breast. However, keep in mind that while this can enhance the shape, the consistency won't be as firm as with implants. Myriad of factors come into play in each plastic surgery, from skin elasticity (as you correctly point out), anatomy, patient's lifestyle choices (such as smoking, drinking, etc, which directly affect healing) to the surgeon's skill. Therefore, it's best to find a surgeon you trust and follow their recommendations. Hope this helps.

Cem Berkay Sinaci, MD · Answer

Hello, as you have a nice volume of breasts, I would not recommend implants. Age and skin elasticity is a factor that affects the final result yes but the more major factors are weight and hormonal fluctuations which almost all women have during the years. Pregnancy is one of that major factors. Time is also a factor that affects the result. Post operative 4th year would be definitely less ideal than 6th month. I can also say breasts with implants are more stable if we compare with the breasts without implants. Best regards

Wayne I. Yamahata, MD · Answer

Yes, a surgeon could do the same procedure on twenty different women and the final appearance after six months could be very different for each of them. Many factors such and skin and breast tissue quality affect the final outcome. This is not always predictable, but your surgeon can provide an educated prediction after a careful physical examination.

Scott C. Lindsay, DO · Answer

Thanks for your question! You will always have a more natural look than a breast with an implant. You can't recreate a very full upper pole with a lift and reduction alone. And yes, age, breast density and skin elasticity all play a role. I would talk to your plastic surgeon about realistic expectations. Good luck!

Finny George, MD · Answer

Hi, thank you for sharing your question. You can expect a good result without implants. An evaluation of your skin laxity will determine how good and long lasting.

Ashley Thorburn, MD · Answer

Breast reduction or lift surgery without implants is influenced by several factors that can impact the final results:1. Surgeon’s Skill: The experience and skill of the plastic surgeon performing the procedure play a significant role in achieving desirable outcomes.2. Patient’s Anatomy: Each individual’s breast size, shape, and skin elasticity are unique, affecting the results.3. Desired Outcome: Clear communication with your surgeon about your expectations is crucial in achieving the desired outcome.4. Incision Technique: The type of incisions made during the surgery can impact scarring and overall results.5. Tissue Quality: The quality and elasticity of your breast tissue will influence the outcome.6. Weight Changes: Significant weight gain or loss after surgery can affect the results.7. Smoking and Healing: Smoking can hinder the healing process and impact the final results.8. bdomPostoperative Care: Following postoperative care instructions and attending follow-up appointments are vital for optimal results.It’s essential to consult with a board-certified plastic surgeon to discuss these factors and determine the best approach for your specific case.

Sarper Mete, MD · Answer

Achieving optimal results in cosmetic surgery can be influenced by a variety of factors beyond age and skin elasticity. Factors such as surgical technique, individual healing processes, genetics, post-operative care, and the skill of the surgeon all play a role. It's important to have a thorough consultation with your surgeon to discuss your expectations and concerns.
Without implants, achieving a nice round shape might be more challenging, but it's not impossible. Your surgeon can discuss alternative techniques such as fat grafting or using your own tissue to help achieve the desired shape. Keep in mind that each person's body is unique, so your surgeon will need to assess your individual characteristics to provide a realistic expectation of what can be achieved. It's crucial to communicate your preferences and concerns with your surgeon during the consultation to ensure you're on the same page about the expected outcomes. Good luck!

Cedric Hunter, MD · Answer

Hello, thank you for your question. This is a hard to answer question, because there is no clear answer. Result of a reduction depend on several factors including age, skin elasticity, smoking history, density of breast tissue, and general wound healing among other factors. I think the biggest determining factor is what your goals are. You mentioned a "round shape". If you are looking for a round and full upper pole, then you will likely need an implant for upper pole fullness. If the upper pole or upper breast roundness is not as important then a reduction or lift only will lift the nipple and help to remove some of the excess breast tissue from the bottom of the breast. I think you can get a really good result, will just have to have realistic expectations about what a lift/reduction can actually offer on its own. Hope that helps.

Michelle Copeland, MD, DMD · Answer

Thank you for sharing your photos! It sounds like you may be a good candidate for a breast reduction. Large breasts may not only interfere with your physical ability to function in daily activities but can be emotionally burdensome as well. Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. A mastopexy (breast lift) can also give you a perkier, more lifted breast. During this surgery, excess skin is removed, the nipple is repositioned, and the skin is re-draped and tightened to support the breast. Depending on your goals, this can be combined with transferring your own fat from another part of your body (like your thighs or hips) to your breasts to add fullness without implants. At my practice, we use minimally invasive techniques to limit incision size. This is paired with specialized skincare products that I have created to helped heal the skin and minimize scarring. I suggest you make an appointment with a board-certified plastic surgeon who will examine you and go over your surgical options and discuss potential results in detail