Thank you for your question. Very flaccid breasts usually remain so even after a breast lift. A breast lift alone improves nipple position but the breasts continued to feel "jiggly" after a lift alone. Most commonly breast implants are required in addition to the lift.
I recommend a new technique called The Mini Ultimate Breast
LiftTM. Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage. Aligning the
areola and breast tissue over the bony prominence of the chest wall maximizes
anterior projection without implants. If
the right side is bigger than the left, the right side can be reduced or the
left side augmented. Augmentation can be
done through implants or fat transfer. The
Mini Ultimate Breast LiftTM avoids the ugly vertical scars of the
traditional technique, maintains nipple sensation and the ability to breast
feed. Skin tone is also improved with
this technique and the breasts are more firm.
Gary Horndeski, M.D.
Thank you for the question.
To best help you, a physical
examination or picture evaluation is required in order to determine
which procedures and techniques would be best for your case.
Since none of us has examined you and we have no photos of you to go on it is not possible to comment specifically on what it will take to get your Wish Look, but the model in the photo almost certainly has had her breasts enhanced.
You appear to have more that one issue and it is necessary to answer each concern specifically. One - if you have drooping then you may need a lift. Two - if you are too small then you may want more volume. ONE HAS NOTHING TO DO WITH THE OTHER! If you want upper pole fullness then you can add an implant but this will add volume (increase your cup size); if you need a reduction then you already have a large enough breast and can actually use it to improve fullness but not to any significantly long term effect. You can also add fat grafting instead if an implant but that will add volume but it's yours, natural, and has the potential to last a lifetime! I hope this helps and have a wonderful day! Dr. Kayser - Detroit
Even if one surgeon was reluctant you might consider a second opinion. Mastopexy is an excellent way to tailor the skin envelope and firm your breast. If the skin is very generous a full T pattern might be required to take everything in and support a fuller upper pole, and yes, you might not "have" to wear a bra all the time.
Without photos or an examination it is impossible to make any recommendations
Without a photo and examining you it is impossible to answer your question. In a case like yours, from what you describe, I would check with two or three experienced board certified plastic surgeons and get their opinions. Sounds like an implant is going to be necessary though.