Follow-up question: Keep getting bigger and more saggy. Options? (photos)

The first goal is to achieve a stable healthy weight, and then seek the opinion of a board certified plastic surgeon. You would benefit from a lift, and possibly implant to improve shape. You are not alone, many individuals have this issue after weight chance and/or having babies.

Thank you for your photographs. You have a grade 2 ptosis but otherwise normal breasts. A simple breast lift should return you to a more youthful position. It will move the nipple/areola to its correct position, which is above the inframammary fold. If you feel that your breasts are too large or heavy, a small breast reduction could be done at the same time and still achieve the same excellent results. Best wishes.

Dear Practical505453,
based on your photos, it looks like you might benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery