Best Breast Implants for Saggy Breasts?

I would have to see you in person but sometimes a lift is not necessary. This is what I do to maximize lift with a breast implant alone:- use silicone cohesive gel implants. The more cohesive the better. I am not sure if these are available yet in the US, but the Allergan Inspira Truform 2 implants are ideal- use high profile implants. The more projection you have, the more lift you will get- have the implants placed in the submammary pocket (under the breast itself). You should have a pinch thickness at the top of your breast of at least 2 cm

I think that high profile implants work nicely in patients with moderate sagging who want to improve the breast shape but do not want a lift.

Based on your photo it's not easy to determine whether you would benefit from a breast augmentation or a lift. I would need to examine you and take measurements to help determine a specific plan. Having said that, it does look like you have a lot of volume loss especially in the upper pole of the breast, commonly seen after childbirth and breast feeding. If your nipples are in a good location, you would be a great candidate for a breast augmentation. 

         It’s not unusual for
women to have both breast hypoplasia and breast sag following pregnancy. When
breast sag is severe, it must be addressed to optimize the surgical result. In
some cases, placing the implant on top of the pectoralis muscles can provide a
solution for this problem. In the majority of cases, placement of the implant
beneath the muscles in combination with breast lift, surgery can provide an
excellent result.

 

         A variety of options
exist for breast implants, but in the majority of cases, smooth walled round
silicone and saline implants are preferable. It’s important to consult a board
certified plastic surgeon who can perform a physical exam and formulate a plan
for treating your condition.

There are options and no right or wrong options. over the muscle will achieve the greatest amount of "filling" of the "deflated" appearance however, there is a tradeoff of not placing the implants under the muscle (softer upper pole contour, ;lower rate of capsular contracture, easier mammogram interpretation).