Q: Am I a good candidate for face or neck lift? (photos)
Thank you for your question and sending the photos. Well, you smile on the frontal photo so it is difficult to assess your signs of facial ageing as there are loss of volume over the midface, deeper nasolabial folds and marionnette lines as well as jowls and undefined jawline. When people smile all these typical signs of ageing 'magically' disappear and patients can see again their younger face. On the profile picture I can see minor joweling as well as loss of definition of jawline as well as marionette lines and deeper nasolabial folds. Also does you midface seem to have lost some of its volume. As for your neck I can see the loss of its angulation as well as platysmal bands. All this can be addressed in a face and necklift. My signature TBT- facelift will vertically lift dropped SMAS/fat and skin and reposition it to where it was when you were younger. Important is to make you look younger but not change your characteristic facial features. Your age of 54 is a typical age for a patient asking for a face and/or necklift. If I can see a frontal photo without you smiling I can advise you just a necklift could be sufficient in your case.
Q: What profile to choose? (Photo)
I would highly recommend to use a high-profile implant. You have very little breast tissue and we need to create a perky projection of your breast. A normal or medium profile would not give you this effect and you might end up being disappointed. I very rarely use other than high-profile implants. Let you show a medium and high-profile implant by the surgeon you have a consultation with so you can see that a high-profile implant is not an 'over-the-top' choice. It is probably what you expected anyway for an implant to look like.
Q: Would you recommend a breast lift or simply augmentation? (photos)
I think that you would get away with only placing a breast implant. Your breasts will be lufted to some extent by placing a big enough implant. Since you want to go from B to D cup we can assume you would need implants of the size 400cc +- (360-410ml). If an additional lift would be needed I am confident that a periareolar excision of excess skin would be sufficient. This would leave you a fine scar around your areola. Your left breast seems more ptotic than your right one. It might be that just the left breast would need a periareolar lifting to madjust it to the look of your right breast.
Q: Can you get a breast augmentation if you know you may get pregnant down the line? Or do you have to wait?
Theoretically you can have a breast augmentation at this point. Important would be that you wouldn't use a periareolar incision to insert the implant. To place the implant the surgeon will also have to cut through your breast tissue which will heal with scar tissue. This scar tissue can obstruct milk ducts to the extent that you couldn't be able to breastfeed anymore. I would advise you to choose a submammary incision. During your pregnancy your breast will grow in size and volume. You will know best to what extent this happened during your last pregnancies. If you expect your breast to grow massively it is possible that after breastfeeding you will end up with stretched skin and a ptotic (hanging) breast. If this wasn't the case after breastfeeding both your children you probably could have an implant now if you are not certain when to become pregnant again. If using a submammary incision you should be able to breastfeed and your breast should take again the shape and volume you had before your pregnancy. An implant wouldn't change that unless you choose a very large implant.