Do I really need or should I get a lift? Would round or teardrop be better shape in cohesive? (Photos)

Dear Plasticideas21,

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

Yes you definitely would benefit from a breast lift to properly tailor/shape the overlying skin/breast tissue.

I would suggest using smooth round implants placed behind the muscle and a lift for your best look. If you only go with implants, you will just have larger and still sagging breasts.