Deflated 34DDD after nursing 4 years....lift and implant together? Or separate? (Photo)

From your photos it appears you are a good candidate for a breast lift with implants. This typically can be done in one stage, although an examination and review of your health history is needed to know for sure. I encourage you to visit with a few board certified plastic surgeons in your area for consultations to hear varying perspectives. You can find a list of surgeons on the ASPS website.

Hello, thank you for your question. I would bring in wish pics that are similar to your body type and more than one when trying to discuss with your plastic surgeon. You may still need a lift depending on the desired expectations of your surgery. Typically we do an implant and a lift in one stage but every surgeon is different.

See the link below to see examples of the possible results for this surgery when done at the same time. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Since you are a 34 DDD, you do not need implants but you do need a lift. The technique I recommend is 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.

Judging by your photos, you would be a good candidate to have a breast augmentation and mastopexy done together. I commonly perform these procedure as a single stage and have been able to have reproducible results. In some patients it is wise to stage the procedure, commonly those that have a lot of breast tissue and want an augmented look or those that have significant ptosis and need the nipple/areola complex to travel up a great distance. It does not appear that you fall in either of those two categories.
As far as the type of lift needed, yes it would be a full (wise pattern) lift.
There are many doctors that do perform this procedure in a single stage.
Hope that helps.