Saggy breasts and large nipples. Would I benefit from a breast lift only? (Photo)

A breast lift alone would most likely be sufficient. This would tighten up the loose skin and reshape your breasts to make them perkier. An areola reduction can be performed at the same time. Implants would only be necessary if you want significantly rounder breasts.

Hi rish1985,
Breast lift or mastopexy can reduce skin excess in both the horizontal and vertical directions, while concurrently decreasing the size of the areola and moving the nipple to a more forward facing position. So....yes, a breast lift could address your concerns.
However, these changes come at the expense of scars--at least around the nipple and vertical (from six o'clock of the areola to the inframammary fold), and possibly an inverted T incision. I would suggest meeting with a qualified plastic surgeon to better understand the tradeoffs of shape improvement vs. scars.
Best of luck.
Hope this helps,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

The technique I recommend is a lift using The Bellesoma 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.