Breast lift choices - everyone has a different opinion! Reduction, fat grafting, implants, what would be best for me? (Photos)

From your photos, it looks like you still have a good amount of natural breast tissue. Because of this, doing a lift with an implant at the same time could carry a higher risk of developing “waterfall deformity”, where the natural tissue droops over the implant over time.
For that reason, my recommendation would be to first do a lift without an implant or reduction. This will allow the breast tissue to settle and give you a clear idea of the shape and volume after the lift. If you still want more fullness after healing (usually a few months later), an implant can be added at that stage for a safer and more predictable result.
Best,Dr. Süleyman Köken

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA