Do I need a lift as I don't want the surgery to be a failure? (Photos)

Hello @Friendly526493 thank you for your question and showing your pictures. I suggest you have a lift because just getting only implant won't solve that the nipple is already looking downwards and that the breast tends to falls. For the most adequate aesthetic result what we want is to raise it and rearrange it, to put it in its place, so that the projection of the breast from the anterior axillary line to the external midline is balanced and that the position of the areola and the nipple in most cases is as central as possible. If you want to keep the volume you have then a combine surgery: breast augmentation and lift would be the way to go. I hope this shed some light. Best wishes!!!

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.