Dear evez2072, Thank you for reaching out with your concerns about your breasts sitting low and your desire to lift and tighten them. Your provided history and pictures have been instrumental in offering a tailored recommendation. Optimal Procedure: Anchor Mastopexy (Breast Lift) Based on your description and visual assessment, an anchor mastopexy, commonly known as a breast lift, appears to be the most suitable procedure for your needs. This involves an incision that encircles the areola, extends vertically down the front of the breast, and then follows the natural curve underneath the breast. Procedure Details: Skin Removal: Only a minimal amount of breast skin will be removed (approximately a tablespoon), primarily for tightening and lifting the breasts. Asymmetry Correction: The procedure will also address any asymmetry, removing more skin from the lower-hanging breast to achieve a balanced appearance. Breast Reduction Option: If you're also considering reducing the size of your breasts, this can be incorporated into the breast lift procedure. Surgery and Recovery: The surgery is typically done under general anesthesia and is an outpatient procedure. The duration is about 3 to 4 hours, and drains are generally not required. Following your surgeon's post-operative care instructions, you can expect to return to a sedentary job in about two weeks. In conclusion, an anchor mastopexy aligns well with your goals of lifting and tightening your breasts, while also allowing the opportunity for size reduction if desired. I hope this information helps in making an informed decision about your breast surgery. Wishing you a successful outcome and a smooth recovery. Sincerely, Dr. Katzen