For parenchymal maldistribution breasts, can I achieve rounded, perkier breasts with just implants or do I need a lift? (Photo)

In medial terms this would be tubular breast deformityIt is best corrected with a circum-areolar  areolar reductionA small implant can be placed through the same incision

Thank you for your question.Implants would be the natural choice when you are looking for some volume increase and a "Perkier" look. I do not think, a lift would be necessary. An experienced surgeon can improve all the problems that you have mentioned with well selected and properly placed implants. All The Best !

I'm not sure I even know what "parenchymal maldistribution breasts" means.  I will say that, based on your picture, it appears that you have normal (within normal variation) breasts with possibly a slight loss in volume, probably from your pregnancy.  It appears from the picture that your areolae are centered over the (inframammary) fold under your breasts which is where they should be.  The average diameter of an areola should be approximately 4.0 centimeters.  You can measure your areolae and compare then to that statistic, but they look to be of "normal" dimensions in the picture.  So, bottom line:  I think the addition of breast implants will do a lot to fill out the volume you lost during pregnancy and give you a perkier shape.  I don't think you need a breast lift.  I certainly don't think a breast lift would be worth the scars that would result from such a procedure in your case.  I think you should schedule a consultation with a board-certified plastic surgeon who can examine you in person, listen to your concerns, and review your options.