Small, pointy boobs- Want to fix shape without adding much size. Donut lift w/implants? Constructed lower pole release?

I'm not sure the lift mentioned would be super beneficial. I think this case is more about lowering the fold and centering the implant behind the nipple which should make it appear to point outward instead of slightly down.

Hello, thank you for your question. You can benefit from a breast augmentation. cA board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision later in life.

Thank you for your question. I think you are a great candidate for a breast augmentation with the implant placed under the muscle. You do not have to go big in size, you can do a small implant to just help with shape and it will help rotate the nipple up a bit. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options with you.