I am a 53 year old woman with natural 34G breasts. I want advice on lift and implants. Any suggestions? (photos)

Hello
dear, thanks for your question and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift
restores a firmer, perkier, and more aesthetically pleasing shape to sagging
breasts. This not only can improve a patient’s appearance by restoring her
youthful, feminine proportions, but  also help bras and swimsuits fit
more comfortably and attractively. By removing excess, stretched out skin,
reshaping the breast tissue, and raising the nipple & areola into a more
forward position, a cosmetic surgeon can create a more youthful breast
contour. Stretched, large areolae can also be reduced during breast
lift surgery, creating an overall better proportioned, natural looking breast, Actually
the perkiness on a person or another, depends on patients skin and breast
tissue, hugs!

Thank you for your question.  I recommend that you be seen in person by a board certified plastic surgeon to determine what would be best for you.  From your photo though it appears that you need a breast reduction.  Depending on your surgical goals, the placement of at least a small implant could be of benefit to you as well.  Be sure that you clearly voice these goals with your operating surgeon.All the best,Dr. ResultsMiami, FL