Sagging Breasts: How to Perk Things Up

That is a very good question. Unfortunately, there are many ways to perk up the breasts, but they all include surgery. Please do not fall for gimmicks like no scar breast lifts. If there is a lift, there has be to a scar somewhere.

Some breast lifts have smaller scars then others. If we classify them in regards to their scar size we have 3-4 basic types.

From smaller scars to bigger scars they are as follows:
1. Crescent Lift and Donut Lift,
2. Lollipop Lift,
3. J Lift and Anchor lift (or inverted T Lift)

Smaller the scars usually translates to a small lift. But not all patients qualify for a small lift. The inclusion of an implant may help reduce the size of the scar.

In order to know which lift is best for you, an evaluation is needed to determine how much lift is necessary for optimal results. Unfortunately, you can’t have surgery without scars, and scars never go away 100%. They do get better with time and in some cases, they may practically fade completely in a few years. But there are plenty of ways to treat unwanted scars like with silicone gels, lasers and more....so you don’t need to worry about it too much. If you wish to lift your breasts, surgery will be worth the scars. Try to view scars as tools that help us lift the breasts.

Dr. Miguel Mota

Thanks for the question!
I think you would look fantastic with the Breast lift with Auto Implant technique. This is also referred to as a Mastopexy with Auto-Augmentation.
This is a powerful way to improve breast shape, and give the appearance of increased breast volume without the use of implants or multiple rounds of fat injections. 

The breast lift with auto-implant uses a lolipop incision and repositions sagging breast tissue (below the nipple) and rearranges this tissue to increase the volume of breast tissue that is behind the nipple. Traditional breast lift techniques discard this "lower pole" tissue but I prefer to utilize this tissue to artistically and increase volume to give a healthier, perkier and natural appearing breast. It is an excellent way to provide a modest increase in size at the same time as a breast lift. 
Best of luck,
Dr. Karan Chopra
★★★★★
Minneapolis Plastic Surgeon
Face ⨀ Breast ⨀ Body Expert
Johns Hopkins Trained
Cosmetic Fellowship Trained

10 Things to Consider Before Breast Lift Surgery
Are you a candidate for a breast lift? Should you also consider implants? What can you expect during recovery? Here are 10 things consider.
A breast lift, or mastopexy, raises and firms your breasts, giving them a more youthful look. Dr. Ted Eisenberg accomplishes this by removing the excess skin, moving the nipples to a new, higher position, and suturing the remaining tissue together to create a sling – essentially a natural support bra – that raises and reshapes your breasts.To determine if you are a candidate for a lift, try the “pencil test.” Take off your bra and look in the mirror. Place a pencil horizontally along the crease under your breast where your bra band would rest. Does your nipple – not your areola – rest above, below, or at the pencil?If your nipple is above the pencil, relax. You are probably not a candidate for breast lift surgery. Use some of the money you save for new, uplifting bras.If your nipple hangs below the pencil, your breasts would be considered moderately to severely ptotic (or droopy) and you would need a breast lift to raise and reshape your breasts.If your nipple is at the pencil and your breasts are mildly droopy, it’s a borderline situation. You might get a good result with breast implants alone because a breast augmentation can give the illusion of a lift. As the implant fills out the upper portion of the breast, it also fills out the lower portion, which makes it appear as if the nipple is located higher on the breast. After about 9 months, when the implant has settled, you’ll have a better idea if you are perky enough. You can always get a lift later if needed.After a lift, your breasts will be the same size as they were before surgery, because only excess, stretched skin is removed during a breast lift; no breast tissue is taken away. You’ll look exactly how you look before surgery when you are wearing a good bra.To determine if you need a breast lift and implants, put on your bra and look in the mirror. If you are satisfied with the size of your breasts, then a breast lift alone might be the right procedure for you. If you wish your breasts were bigger, you are probably a candidate for a breast lift and implants (an augmentation mastopexy).Women report minimal discomfort after breast lift surgery. That’s because a breast lift involves removing only loose, stretched skin. If implants are added at the same time, the skin and muscle will be stretched, which may cause a little more discomfort.More than 90 percent of my patients are back to work on the fifth day after surgery if they work in an office setting. Women whose work requires lifting, pushing or pulling usually go back to work toward the end of the second week.It’s very likely that breast lift surgery won’t affect your ability to breastfeed because your milk ducts, which run from the mammary glands to the nipple, are not disturbed. Only skin from the perimeter of the areola is removed, and there are no milk ducts there.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author RealSelf Distinguished Hall of Fame Inductee