Mastoplexy with grade 1 ptosis or just implants? (photos)

Thank you for your question. In general, if your nipple is located at or above the crease below your breast then a lift is typically not needed. In addition to nipple position, measurements are also used to determine when to add a lift. It's important to know the breast implants do not lift the nipple to any significant degree, so you can't escape the lift by using a breast implant. Breast sagging is a spectrum and women with mild/moderate sagging can sometimes go either way. In this situation, I typically recommend breast augmentation as an initial procedure, waiting six months, and then only performing a breast lift if it is truly needed. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide which procedures are right for you. 

Thank you for your question. From your photos and desired results, it looks like you would be best served with a combination of breast lift with augmentation.  The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Many techniques exist in breast surgery, and combined lifting with augmentation is especially tricky.  The key is working with an expert, board certified plastic surgeon to get the best plan for you.

Thank you for your question and photos.  Without a doubt, you will have a better shape and look to the breasts if you have a lift.  Without a lift, you will have skin and breast tissue cascading or falling over the top of the implant, giving the breast a "sad" or droopy look.  The scars are the trade off for a better shape.  

Hello and thank you for your question. Based on your
photograph, you are a great candidate for a breast lift with an implant.  This can be planned to give you a natural appearing result.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

From your photos I recommend you have smallish implants placed for some increased fullness and a circum-areolar mastopexy. This will give you the look and shape that you want.