Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Based on your photos, breast lift surgery may be a good option to improve the shape, contour, and perkiness of your breasts. The surgery can be designed to minimize scar appearance.
Unfortunately, breast reductions do not prevent recurrence of breast sagging. It certainly may help delay the process by offloading the breast / reducing overall breast weight. But breast sagging as a process would only be slowed---not stopped.
If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.