Facelift and breast augmentation on 66 year-old woman. Suggestions? (Photos)

I would recommend an augmentation-mastopexy. This can be done at the same time of facelift/necklift. I recommend keeping general anesthesia under 8 hours total to reduce the risk of potentially increasing perioperative complications.

I believe from what I see in your pictures that you would benefit from a deep plane facelift. Your facial structures have dropped and need to be fixed to the appropriate location. The skin will not hold if this is not done appropriately.An appropriately sized implant placed subglandular will give you the appropriate fullness of the breast without creating excess upper pole fullness. Hope this helps.