Lift or Implants for Breasts That Flatten While Lying Down?

I would need to see a photo to see what would work for you. You may need a breast lift if your nipples hang below your inframammary crease, or implants alone if you just want your breasts to remain more upright when lying down. However, you should know that natural breasts have a tendency to do that.

It is normal for breasts to fall off to the side when you are laying down.  In order to know if you could get any improvement with breast surgery a photograph and measurements would be needed.  

Thank you for the question.

Breasts “flattening while lying down”  does not seem to be enough of an indication to proceed with breast surgery. You may want to visit with well experienced board-certified plastic surgeon to discuss your concerns and goals in more detail. This will be the best way to receive meaningful/ accurate advice.

Although you may be a candidate for breast lifting/reduction surgery, there are many things to consider at your age especially.

Breast lifting procedures are associated with scars on the breasts;  exactly where these scars will be located will depend on the patient's physical examination and specific procedure performed.   Ideally it is best to do this procedure when you completed pregnancies and are a long-term stable relationship.

Most patients undergoing this procedure at the right time in their lives will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry are met. 

Best wishes.

It is completely normal for the breast to flatten out and "go to the side" when you lie down. It happens to everyone.  It's impossible to determine whether you need a mastopexy or implants without a photograph. 

Larger breasts that aren't "perky" are due to skin tissues that are less elastic and thus have less tone. If the nipple areolar complex is anatomically in the correct location, at or slightly above the inframammary fold (crease), then it's more likely you'll need an augmentation. However, to reduce the amount of excess skin a circumareolar removal of skin may be needed in addition to an augmentation.