My breast are extremely deflated and sagging, can I avoid a breast lift? (Photos)

Thank you for your question regarding what to do with your breasts after four years of breastfeeding. You will get suboptimal results if you do not want the scars from a breast lift. I assume you do not want the scars and are willing to settle for suboptimal results. I would suggest breast augmentation. It is possible that the augmentation gives you the fullness you want and a partial breast lift; however, my opinion is that your best results would be with a breast implant to be simultaneously performed with a breast lift. Therefore if you don't want the scars from a breast lift, proceed with the breast augmentation and see what your results look like. I hope this helps answer your question regarding what to do with your breasts and not wanting breast lift scars.
If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office. Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 breast lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

You can avoid surgery altogether, or just choose to have implants placed in front of the muscle. This will give you larger and still sagging breasts. You will have your best results with a lift and augmentation. But truly, it is what you want to do. In a bra, no one will know that you are sagging.