Kirkland Breast Lift doctors

Women of African heritage in the United States often have a lot of racial mix. No rule holds across the board. Paler skin types tend to make less noticeable scars than darker skin types.  My African American patients usually make good scars if they have no personal or family history of hyperpigmentation (scar darkening) or keloid formation (overgrowth of scars). Less scarring can be beneficial for the person at risk for unsatisfactory scars.  The choice of implant size and pattern of breast lift incisions is a judgement call that can only be made in person.  The implant and skin envelope need to match.  Too tight a skin envelope can create tension that results in bad scars for any skin type. Too large a skin envelope leaves droopy skin.  Implants and lifts done together have a high revision rate, approximately 20%, because it is difficult to get it exactly right even by the most experienced plastic surgeons.

You are looking for a very natural look with less breast overhang and a somewhat higher nipple position and smaller and less stretched areola.  Judging by the photo example of what you are looking for, you are not concerned about having more upper pole fullness or even a "natural" implanted look.  There are two reasons to use implants...if patients are looking for larger breasts, or if they are looking for more upper pole fullness. I would therefore suggest a breast lift, perhaps a "lollipop" or vertical technique, versus a circumvertical or anchor lift depending on physical exam in terms of how much overhang you have and how low your nipple position is.  Periareolar or Benelli lifts, in my opinion, only work well with implants, as otherwise they result in a persistent flat breast, and if this mild lift is overused (used in a patient who needs a stronger and better shaping variation of a vertical scar lift), then the resulting breast shape and scar quality suffers. If you have a lift to obtain a better breast shape, and later decide that you want more upper fullness from a small and natural-looking implant, this can be easily done.

From your photos, I think a vertical lift would get you close to the look that you like.  I do not think an augmentation with a periareolar lift would.  First of all, your volume is similar to the model's.  She does not have alot of upper pole fullness that an augmented breast would have. 

I think the aug and periareolar lift results in a particular look that does not look natural, at least in patients with your degree of sagging.

I must compliment you good taste.  You wouldn't believe the photos some patients think look good and natural!