Jlikes03:
Your research will probably lead you discussion of "scar-less" or "minimal scar" surgery. For years US and international surgeons have trying to develop ways to give patients superior results with little scaring. Alternatives such as liposuction of fat, leaving glandular tissue and skin have been tried.
National surveys and informal polls at national meetings confirm that the majority of surgeons feel that short scar techniques (lollipop or vertical plus areolar edge) are suitable for smaller amounts of reduction and lift (mastopexy, without reduction of size), and that larger scar techniques (inverted-T or Wise pattern) are best when reducing many cup sizes of lifting many inches. My practice generally conforms to this pattern.
I do believe that heavier breasts can sag more over time, although that is not always the case. I doubt that you will have long-lasting success leaving them large and lifting them. If you had a lift (without reducing the size) gravity will continue to work on them.
Scars certainly look prominent in photographs, particularly the more recent ones. We show patients many Before & After photos during their consultation and they decide if they will be more comfortable with scars and improved breast & body contour, or if scars are unacceptable. Meet with several experienced plastic surgeons, and look at their photos before you make your decision.
