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

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

Thank you for your questions and photographs.  Based on your narrative, a lift/reduction seems to be the best surgical treatment, as it provides a lift to your breast tissue, removes excess skin, and places your nipple in a higher, more youthful position.  It looks like an anchor type incision would be best, as this is the most powerful, shape-changing lift.  Hope that this helps. 

Thanks for sharing your concerns with us. After having analyzed all the information and photos provided to us, I realize that you have asymmetrical and sagging breasts.In this regard, i recommend a breast lifting with implants to get a bigger breast with adecuate projection. In other words, you need breast volume (implants) and you need breast projection (the lift).I recommend you, to use a microtexturized highly cohesive silicon implants ("gummy bear" implants), with high projection and different volumes of each side (bigger in the left breast) to correct the breasts asymmetry you have.Respectfully, Dr. Emmanuel Mallol Cotes.-

I appreciate your question.If you are already a G cup, I would not recommend an implant since you have enough volumeI would recommend a lift and reduction ( depending on the size you want and your body proportion).Scars will be anchor for this procedure (wise pattern)The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz

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!

If you are happy with the overall volume, then you can probably just have a lift. As for implants if you desire to go bigger, then you need to be evaluated in person.

 Thank you for your question. Without knowing what your goal is, it is impossible to give any meaningful advice.   Given that your starting breast size is 34G, you may not need an implant.  Sometimes, a lift alone will give you the size and shape you're looking for. The best thing to do is to see a board-certified plastic surgeon in person. They can interview and examine you and then give you meaningful advice.

Certainly from the photo, you need the equivalent of a reduction with the vertical T incision to address the degree of sagging in the breasts and then an implant to create upper pole cleavage if desired. Depending on the situation, nipples may need to be removed and replaced during the procedure. See an experienced, board certified plastic surgeon to discuss your options.

To little information and poor posted photo to recommend anything. Especially with a G sized breasts. Best to seek only in person opinions....

Some of my lift patients do not require an implant as they have enough volume.  The type of implant, if used, is best determined by your PS. I prefer the Vertical technique, and not the " anchor scar" in the older technique.