Looking for natural result proportional to my thin body - do I need a breast lift?

Dear lesssy,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From the photos you have some asymmetry. One nipple is lower with a larger areola. There is some size asymmetry too. You could proceed with augmentation alone but it is important to note that the asymmetries you have now will still be present but you will have more volume to the breasts. The implants you are considering should give you a nice, natural enhancement.

Yes, you need a lift, especially for the more sagging breast. I would suggest placing the implants behind the muscle and using smooth round implants for better long-term results. Don't go with large heavy implants for your tissue will not support the weight.