Fairfax Breast Lift doctors

Thank you for the photos.  Based upon the degree of laxity in your right breast and the nipple position it seems more likely that you will need a lollipop or full lift.  The diameter of your implants is wide and much larger (heavier) implants will drop more over time.  Rather than going with a wider implant you may wish to consider a more projecting implant with the same diameter, essentially going from moderate to high profile. This will give a more prominant upper pole.

 In situations such as yours  it is mainly the natural breast tissue that is drooping beneath the implant.  I will often reduce the natural breast volume because it is the natural breast that responds more  to gravity.  In a perfect situation you would have identical implant volume and identical breast volume.  If you reduce some of the natural tissue you will have the opportunity to do this and have more similar implant volume.

Be sure your surgeon has a comfort level with this as the blood supply to the breast can be more tenuous in a lift/reduction patient with an implant already in place.

A breast lift without implants will give you a fine result.  Here are the pros and cons.  If you are happy with your size a lift utilizing a periareolar or around the areola incision, vertical and maybe a short horizontal incision will be necessary.  It will elevate the nipple areolar complex and remove some of the stretch marks.  Because the stretch marks are up into the superior part of the breast not all of them can be removed.  As I stated the result will be very nice.

The advantages to adding implants are multiple.  First, implants will help fill the flatness of the superior pole or upper area of the breasts.  I use low profile implants for this.  These implants have a larger base diameter and less projection for the given volume.  They don't need to be big to get the added help.  Second, I can and almost always use just a periareolar incision when adding implants.  This avoids the vertical and horizontal scars.  But, on the flip side the stretch marks could be more noticeable.

I think you really need to think about what is most important to you and have serious conversations with the surgeon you choose.

I agree with the others in that you must be sure there are really sutures "between" the breasts.  Even the largest mastopexies or breast lifts don't require sutures between the breasts.  My guess is that the surgeon is just placing some tape between the breasts to help with swelling and shaping of the breasts.  So just relax and be patient with the healing process.