Breast Implants to Lift Slightly Sagging Breasts?

Judging purely by your photos, you may be fine with an implant only. There can be argument whether it should be subglandular versus submuscular versus dual plane. You have enough lower pole tissue that a dual plane would help you and give the result you need without the down fall of subglandular implants.
I would try to match the implant to your base diameter and you may benefit with a higher projecting implant to get you the fill and as much lift as possible.
Just remember only through an exam can it really be decided if you need a lift.
Good luck.

Thank you for your question. There are some women who will benefit from adding a breast lift to a breast augmentation. In general, if your nipple is located at or above the crease below your breast then a lift is typically not needed. In addition to nipple position, measurements are also used to determine when to add a lift. It's important to know the breast implants do not lift the nipple to any significant degree, so you can't escape the lift by using a breast implant. Breast sagging is a spectrum and women with mild/moderate sagging can sometimes go either way. In this situation, I typically recommend breast augmentation as an initial procedure, waiting six months, and then only performing a breast lift if it is truly needed. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide which procedures are right for you. 

It’s not
unusual for plastic surgeons to encounter patients who don’t have breast
hypoplasia associated with mild breast sag.These patients want larger breasts, but don’t want the scarring that’s
frequently seen with breast lift surgery.Under these circumstances, dual-plane
breast augmentation offers significant advantages.This procedure creates a pocket beneath the
pectoralis muscle, as well as a separation between the muscle and the overlying
breast tissue.This results in the
implant having muscle coverage superiorly and breast tissue covering the
implant inferiorly.Your pictures suggest that you would
be an excellent candidate for a dual-plane augmentation procedure.

Your answer is all about a combination of how perky you would prefer after surgery, the shape of your breast, elasticity of your skin, density of your breasts, and other factors. An examination by an experienced board certified plastic surgeon who can guide you is what is needed the most at this point. See the below link on how to choose your best plastic surgeon.

The answer is no. I always suggest a lift but I understand woman do not want scars but if they choose implants alone they probably need larger ones than I would want and for sure in time they will have a poor aesthetic outcome so the choice is a short term gain only

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

Hello! Thank you for your question and photos!  The mastopexy (breast lift) procedure raises the breast, which ultimately provides a more
youthful and perky breasts. This is done by
removing the extra loose skin and rearranging the surrounding breast
tissue in order to reshape and support the newly formed breast. At
the same time, the nipple-areolar complex (NAC) is raised to the ideal position above the fold beneath your breast (the
inframammary fold) as well as being placed at the most projecting portion. Oftentimes with age or following pregnancy, the NAC
becomes widened and enlarged. This may be reduced in size during the
breast lift procedure.
It is common for the breast to lose its firmness and uplifted appearance over
time, which is also accentuated with age, pregnancy/breast feeding,
weight gain/loss, and gravity. This results in breast ptosis, or
sagging of the breast, with a “deflated” appearance. Women seek the
mastopexy procedure to regain the previous youthful appearance of her
breasts and women report increased confidence, self-esteem, and
femininity once achieving this desired shape and fullness. Breast lifts
may or may not be performed with implants – the implant would add
increased size but also greater fullness in the upper pole of the
breasts which creates more cleavage.The decision will be completely up to you.  I believe that an implant to increase the size as well as a small lift will likely give you the best results.  Consult with a plastic surgeon who will discuss with you the various options and assist you in deciding which will be the right procedure(s) for you.  Best wishes!

The position of the nipple rarely changes with breast augmentation.  What does happen is the loose skin may be stretched and filled in by the implant.   The only way to lift the nipple is with a breast lift.  You may however get enough fullness with the augmentation that you will be happy with the nipple position.  A lift can always be done later if needed.

I would agree with Dr. Aldea's statements. Although implants would restore lost volume to the breasts and give the appearance of fullness, it would be short lived. Furthermore the implants would likely not appear any closer together.

Based on your photo above, it appears breast implants alone would address your desire for fuller/larger breasts without the need for implants. This is not always possible to determine based on photos alone however. Remember, that once the implants are placed during surgery, your breast shape or nipple position may seem different and there is an outside chance you may need a lift, but I doubt it. I would definitely have the implants placed under your pectoral muscle as you are planning to breast feed in the future. The choice of salne vs silicone is one of preference, however most patients feel that silicone has a more natural feel.
Please consult with a board certified plastic surgeon in your area prior to any cosmetic breast surgery.
Best wishes,
Dr. Bruno