Mastopexy /augmentation not an option? (Photo)

The loss of elasticity and volume are the reasons for a lift and the placement of implants. Make sure you are meeting with a plastic surgeon who is experienced in breast lifts combined with implants. Ask them to describe how they perform the procedure including the placement of scars, the repositioning of the nipple areolar complex, the choice of implant size based on measurements, how the implants are placed, the expected outcome, etc.

You can have an augmentation and lift. However, do not chose large heavy implants for your sagging tissue will not support that weight. an internal bra of mesh could also be very helpful for you to add more support.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.