Will internal bra with a fat transfer or Horndeski method will help? (Photos)

The technique I recommend is The Bellesoma Method (previously Horndeski Method). This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

You are understandably mistaken if you think that you can get upper pole fullness without an implant. Although fat grafts or 'auto-augmentation' are helpful, ultimately their results are not the same as an implant. You would absolutely do well with a revision lift to not only improve scarring and areolar shape and size, but also relift the breast. The use of resorbable mesh may have a benefit in resisting recurrent ptosis.

Dear flirtythirty22,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery