What type and size of breast implant should I get?

you have lost breast volume and have breast ptosis. Altough breast augmentation with breast implants will help to replenish your lost breast volume, you would also need a breast lift. Unfortunately, from your pictures, without an examination it is not possible to tell you what type of breast lift you will need.

It is very common that women have asymmetrical breasts prior to their augmentation. With the use of different size implants the volume difference will help decrease the difference between your two breasts.

In terms of a breast lift I would do a periareolar lift, which goes around the areola and typically hides very well at the junction of the areola and the normal breast skin. This would allow me to set you nipple at the same level giving the appearance of symmetry.

The good news is that lots of women come to the office with asymmetrical breasts such as yourself and they are very happy with their results.

Thanks for asking the questions. The photographs do show lack of breast tissue in upper pole and drooping of nipple areola complex. This condition will benefit from augmentation with implants and uplift of the nipple areola complex to achieve pleasing results. Based on expectation of perkiness and upper pole fullness, different implants can be tried as sizer to find the correct implant give the desired results. In such cases, implants are generally placed behind the muscle and implants might lose a degree of its projection. The implant selection should suit the frame and should be tailored to the patient to meet the expectations. The implants with softer gel, the ergonomics can be a good option for achieving natural look in the upper pole. Please see a plastic surgeon to discuss and look at all options for your surgery

Then you for posting with your photo and information. But you left out something I feel is most important.... the size you would like to be after surgery. A good guess would be around 300cc. An in-person evaluation with specific measurements and the use of sizers will help you decide on the perfect size.If you want them sitting higher and more symmetrical you will need to have a lift. The lift will help with symmetry.Best of luck!Dr. Miguel Mota.

With a single front image, it is challenging to be able to provide much advice. It is common in our practice to do a breast lift with an implant to provide the shape that patients are looking for. An implant alone might not really help you achieve the "perky" look that many people are thinking of as an end goal. It would be good to do a little research and find board certified plastic surgeons in your area with before and after photos, and who also have vectra 3d imaging software so you can see what different implant sizes would like like on your own frame.

It's difficult to say if you need a lift with your augmentation based on your photos. Your nipple position is on the border and your arms are elevated with raise them to some degree. So a consultation is necessary to give you more information. I hope that's helpful.