I am 40 with 20-year old breast implants. I was small C cup before. I have saline implants over the muscle. (Photos)

Thank you for sharing. It’s necessary to be examined in person after the skin has had maximum correction before assessing. Wait a few more weeks and see your PS. Best wishes!

The lift surgery will raise the position of the nipple and take up excess skin.  It will not provide the upper pole fullness that is created by an implant.  I recommend waiting for the tissues to settle and then speak with your surgeon about your goals for surgery.  Together you will decide what is best for you.

It is important to understand the breast implants are merely "pillow" volume behind the breast and do not lift the breast when they are put in or make the breast sag when removed. The sag effect is an illusion caused by volume, particularly in the upper pole of the breast.The need for a lift (or actually benefit of a lift) is determined by the position of the nipple-areola relative to the inframammary crease at the base of the breast behind it. If the nipple-areola is more than 2 cm lower than the inframammary crease (upright, with arms down) then the breast is truly ptotic (sagging) and would look better with some type of lift procedure with or without volume.