Breast Implants - Options for Very Small Slightly Saggy Breasts

Based on the photos you provided, you appear to be a good candidate for brest augmentation. I agree, a breast lift is not necessary. Clear communication with your plastic surgeon is important in achieving the desired goals of the patient.  I like to communicate with patients with “goal” pictures.  During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to predict the size of the implant preoperatively is not ideal.  I think it is too much responsibility for the patient to choose the size of the implant.  Ideally, the surgeon would make that determination once he/she is in the operating room with sizers in and examining the patient in the upright and supine position.  There are many variables that come into play when choosing the correct implant size (how much breast tissue the patient currently has, the shape of the chest wall (concave vs. convex), etc.. 
 On this site, I do my best to give advice without a physical examination but I want you to know that a physical examination by a certified physician is always the best way to get the most accurate information.  

It's not unusual for plastic surgeons to encounter patients who have breast hypoplasia associated with mild breast sag. These patients want larger breasts, but don't want the scarring that's frequently seen with breast lift surgery.Under these circumstances, dual plane breast augmentation offers significant advantages. The procedure creates a pocket beneath the pectoralis muscle as well as a separation between the muscle and the overlying breast tissue. This results in the implant having muscle coverage superiorly and breast tissue covering the implant inferiorly.This configuration allows the breast tissue to cover the implants in a more natural way. It avoids the need for a breast lift and avoids a snoop dog deformity. In addition, patients continue to have the advantages of sub muscular implant placement including a decreased risk of capsular contracture.It's important to realize that everyone's idea of a C cup is different. For this reason, we utilize the 3D Vectra imaging system and external sizers before surgery. We find that this approach minimizes confusion regarding implant size.If you're considering breast augmentation and have mild breast sag, you may be an excellent candidate for this procedure. Under these circumstances, it's important to consult a board certified plastic surgeon.

You may be able to lift your breasts with implants of a firmer texture and narrower base width, however the lift would probably not be able to achieve as perky a contour as you'd like. You don't have to get a lift, but you should understand that your results may be like a "ball in a sock". However, please see an experienced board certified plastic surgeon for a physical examination. Best of luck.