I would like fuller bigger breasts do I need bigger implants or lift and implants?

I don’t see anything specifically wrong with the breasts. Saline implants don’t need to be switched unless there is a problem despite the rumor that they need to be replaced every ten years. They do not. Your excellent result is testament to the durability of saline implants as well as having fewer problems than silicone.

You don't "NEED" anything with your breasts. That being said, your saline implants that have served you well are now 20 years old and at some point, you will likely have a deflation. Since you are having surgery anyway, this is a perfect time to "fine-tune" your breasts. Over the last 20 years, your implants have placed weight on your soft tissues, whihc have, in turn, stretched a bit. You could easily have a simple pocket tightening procedure called "popcorning" which uses thermal energy to shrink your capsuls/pockets. Using a slightly higher profile/slightly larger implant will give you the look you are trying to achieve without being an overly invasive or difficult procedure. Additionally, I would also recommend circumareolar mastopexies for proper nipple areola complex repositiopning and improved symmetry, but that would be optional and based on what it looks like with your new implants in place. Good luck!!

Hi sensible,I agree with the docs below that an in person exam is the best way to go at this time . Did you discuss your question with your PS who is going to do the MM? I cannot tell if your skin is loose or not. If so, a lift may help tighten loose skin around a larger implant. Otherwise, your shape looks nice and a larger implant may be all the you need. I also agree with the doc who said that over time, your breasts will sag more with the increased weight of a larger implant.Sorry , not to give you a definitive answer, but it would be best to get an in person exam.Best Wishes,Dr. Christine Rodgers