Asymmetry and sagging - will I be able to achieve my wish pictures? Is over or under the muscle better in my case? (photos)

Thank you for your question. Looking at the photos you have provided I would recommend a silicone gel implant under the muscle and a breast lift. This will allow your surgeon to give you a larger breast, better upper pole firmness and shape. Most importantly a more perkier looking breast. Under the muscle implants are typically the best way to go. They uphold very nicely and look/feel much more natural then an above the muscle implant. I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss your options. Best of luck to you.

You should be able to achieve the look you are wanting. The asymmetry can be addressed and the position of the nipples corrected. The best place to begin is a consultation with a board certified plastic surgeon near you. During this important meeting measurements will be taken of your breasts and your goals for surgery will be discussed. Your surgeon will combine this information to recommend implants for you. In addition to volume you'll need to decide on type, style, and profile. I've included a video about this process that I hope you find helpful.