What Can Be Done to Fix my Wide Set Saggy Breasts? (photo)

You need a breast augmentation and a breast lift.  You may consider performing a breast lift first and 3 months later put in implants that fit the new position of your breasts.  This two stage approach may cost a bit more, but will likely produce a more effective breast lift.  You will then be augmenting a prettier breast and, in my hands, produce a much prettier, bigger breast then a combined breast augmentation and breast lift.   Best wishes!!

      I would recommend a 300 cc moderate implant with a full breast lift, which can be used to reposition and advance tissue closer to your midline.  This gives the illusion that the gap is much smaller. 

You need a mastopexy combined with implants.  Unfortunately, as you noted, your breasts are wide set.  This will be difficult to correct.  Yours is a case in which I might perform the surgery in two stages.  first, perform the lift and in a few months you can add implants.  much less risky that way, and ultimately, you get a nicer result.