Maldistribution of breast volume

It sounds as if you have a maldistribution of breast volume. That is,  your volume and size are adequate or even too much, but it is in the wrong place creating a displeasing appearance. Although it sounds odd, some patients need a reduction-augmentation-mastopexy. You essentially remove tissue in the wrong place and replace it with implant volume in the desired place. In you, a reduction combined with the associated lift will make you smaller but more ideal in distribution of the breast tissue. Then you can augment them with an implant that produces the fullness you want. The problem with very saggy breast tissue is that it is very difficult to lift the tissue superiorly where women want fullness and maintain it there.