Breast Lift with Implants 34B to 34D? (photo)

Your photos are very helpful but a definitive answer would require a formal consultation and an understanding of the size implant being used.With lax breast skin the implants should be placed partially under the muscle.  I am concerned that your degree of skin laxity will require a more powerful lift than the periareolar to give you an optimal result. The next step up is a circumvertical lift which has the same incision around the areola but a vertical incision from the areola to the breast fold.This will yield a better final breast shape. I do not believe an incision under the breast would be necessary but I would discuss it with you so that there would be no surprises after surgery.

Review these options with your board certified plastic surgeon. I hope this was helpful

    The breast implants should be placed under the muscle to create better camouflage among other advantages.  A full breast lift will provide a much higher, tighter, better projected breast with more superior pole fullness.  Find the plastic surgeon with elite credentials who performs hundreds of breast augmentations and breast lifts each year.   Kenneth Hughes, MD Los Angeles, CA