There are several options that incorporate breast implants to help sagging breasts. There is no best implant, but bigger implants (to a point) work better than smaller ones. Placing the implant above the muscle may give more of a lifting effect, but only in patients who have enough breast tissue. Your areolas appear a little low and large... you may be a candidate for augmentation with a periareolar lift.
My best advice to you is to seek consultation with a board-certified plastic surgeon with experience in augmeantation/lift. You should be fully examined so that the best surgical plan can be developed.
Hope this helps.


