Can deflated breasts with pseudoptosis get good results with implants only and no lift?

Placing implants
would fill your breast envelope but will create large sagging breasts, which
will be unattractive and you will be dissatisfied.  Instead, I recommend The Bellesoma Method,
which will lift your breasts, reshape them creating upper pole fullness.  At the same time or later, fat can be
transferred to augment the volume of your breasts.  Best Wishes,Gary Horndeski, M.D.

Hello there That's a really complicated question . I guess the short answer is ..."It depends"A lot of the decision-making process is made just by the appearance of the breasts . In some cases it is obvious on examination that a good result will require a lift . Conversely there are cases where it is mostly just deflation and an implant will do a great job .But there are many who fall in the grey zone , where a lift will make the breasts sit better and look more shapely , but the benefits have to be weighed up against the scarring . It may just come down to personal taste - whether or not you dislike sag more than scarring .If the lower part of your breast is very expanded then it is likely the implant will tend to sit there and the breast look bottomed out . A lift does more than just move the nipple ; it tightens the skin envelope and makes the breast tissue and the implant sit in a more favourable position .From your photos I think you are likely to get better breast shape with a lift . But that's just from a photo .So I suggest you have a consultation with an experienced breast surgeon - or more than one - and give it all some thought.CheersTS

Hello and thank you for your question. You are a great candidate
for a breast augmentation without need for a formal lift.   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.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon