I had a breast reduction 7 years ago and I have since lost over 100 pounds.

First, congratulations on your weight loss success. The answer to your question would require an in-person evaluation with a board-certified plastic surgeon, but I can speculate for you.

Breast lift techniques can help you reshape the small amount of tissue you already have and place the nipple and areola back on the projecting portion of the breast, if they have dropped. Breast implant augmentation can provide more volume and shape for your breasts. The two often work together for patients, and your surgeon may suggest performing two stages to get the best result for you. For example; doing the mastopexy / lift first, then after a few months of good healing, adding the implant.

Finally, fat graft may be useful if you have areas of remaining excess fat. That fat could be transferred to your breast area, often in addition to lift or implant techniques.