Hello dear, thanks for your question and provided information as well.. The breasts may lose their elasticity and firmness which can be caused by different factors such as pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts and restore the natural look your surgeon can perform a mastopexy or breast lift with augmentation such as silicone implants, you will get very nice results, contact a board certified plastic surgeon, I recommend you soft cohesive silicone implants about 350 cc's you will look pretty and they will be perky.Patients who goes to a consultation for drooping breasts (ptosis) or volume loss after pregnancy (pseudoptosis) almost always have one very important question. "Can my drooping be corrected with just implants or do I need a lift".Implants alone will correct drooping when:Breast drooping is mildThe nipple is still near the center breast and does not point downwardThere is some visible skin beneath the nipple/areola when looking at the breasts straight on.The patient is okay with being at least a cup size largerA breast lift (with or without an implant) is better when:Breast drooping is moderate or severeThe nipple is at the bottom of the breast or points downwardThere is no visible skin under the nipple/areola when looking at the breasts straight on.The patient is already a C or D cup breast size and doesn't want to be largerThe areola is too large and the patient wants it reducedI also show the patient photographs of a spectrum of breast scar present after a breast lift in order to check their tolerance for this scar. Most patients are surprised how little the scar shows and are okay with proceeding. If the patient really needs a breast lift, but is concerned about the scars, I will suggest they wait on surgery. In time the breast appearance problems will usually outweigh their concern about the scars.I use implants in combination with a lift when:The patient wants to be larger in addition to being less droopyThe patient desires to maintain projection and roundness of the breast moundThe drooping is severe..... I recommend to see a board certified plastic surgeon for a personal evaluation and also to talk about your goals. Good luck :)