How to achieve the breasts I want?

You need a formal evaluation by a licensed plastic surgeon and expert in breast lifts, revisions and augmentations to determine what is best for you and your goals.Breast lift surgery can improve a woman's breast shape by repositioning the breast mound at a higher position on the chest and then centering the nipple and areola on the breast itself. If there is enough breast tissue, I can perform a highly aesthetic mastopexy without the addition of further volume by internally rearranging the breast tissue and removing excess skin. If more volume is needed, especially in the upper portion of the breasts, we will discuss the possibility of fat grafting or silicone gel implant placement. The type of incision required for this surgery (circumareolar, “lollipop” or “anchor”) and the lifespan of the lift depends on each patient’s condition, breast tissue, genetics, weight and hormonal fluctuations, and desired results.
Augmentation with mastopexy is a challenging surgery that requires significant experience to create a shape that is youthful, natural, and proportionate to the body, while managing the native tissue as well as fat grafts or implants. When performed properly, it can result in a dramatic improvement to a woman’s breast appearance.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Lifts. - Dr. Cohen

Hi there and thank you for the pictures and question, 
Based on the photo’s it seems you have a subtle asymmetry between your left and right breasts in both Volume and the Nipple Areolar Complex diameter (although in an person consult and assessment would be the most telling)  
Additionally based on the “wish” photos provided it seems you would like a result without obvious scars.
Unfortunately the only way to get the volume and shape of the breasts in the wish pictures displayed in your specific situation is through some type of breast lift (which comes with scars either in the form of a donut, lollipop, or anchor) coupled with an implant (albeit with a smaller volume and lower projection)
Hopefully this answer helps guide your decision and as always make sure to consult with a board certified PS 
Dr Waqqas Jalil MD FRCSC

Hello thank you for your question  and provided information as well..based in your question and the picture you  showed  You are a great candidate for a breast lift with implant   You may want to consider around 300-400 . but  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.

From your pictures you appear to be a good candidate for a breast lift, depending on your goals would determine if implants are needed. Be sure to consult with a board certified plastic surgeon to learn what options are available to you. Good luck.

Thanks 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.

Hello,Thank you for your question. Definitely you will get the best advice from the physical consultation with an experienced Board Certified plastic surgeon. In order to achieve the dream breasts formal lifting should be combined with breast implants. Implants will provide perkiness and upper pole fullness. The ideal size can be set only during in person examination taking into consideration your chest wall, weight and body proportions. The decision of the implant's place made depending on your breast tissue. In case of little or no breast tissue the implants must be placed under the pectoral muscles to hide them. I personally prefer inframammarial approach, which is also the most common technique in the world, as this allows the most beautiful shape of breasts on one hand and minimizes potential complications in the post-operative process on the other hand. Please click on the attached link for more before and after pictures.
Best Regards

Thank you for your question.   Bases on the wish photo provided it appears that you are seeking a perkier nipple position, smaller areolae, and a more rounded, full look.  Breast lift surgery can definitely achieve the first two goals.  As for upper fullness, this can be improved with a lift alone but not to the same extent as what can be achieved with a lift and implants.  It is important to have a detailed, in-person consult with a surgeon to get a better idea how to achieve your goals.  I find that looking at before and after photos of each type of operation is really important to help my patients decide.

A breast lift with autoaugmentation and small reduction on the smaller side to improve your symmetry should help you get close to your desired look.  An in person examination will help further.  Best of luck!

Hello,You would benefit from a lift and reduction. The photos you present show minimal upper pole fullness, so implants are not necessary. 

Thank you for your question and for your photos. Based on the photos provided, I feel a breast lift is the best choice for you since you already have breast fullness. I advise you to schedule a consultation with a board certified plastic surgeon for a complete examination to discuss treatment options and what your expectations are. I have attached a link for you to review with more information on breast lift as well as a video.