Plastic surgeon says I don't need a lift... but I'm not sure. (photos)

Determining whether a lift is necessary is an important part of the examination. There are several factors that determine whether a breast lift is needed, breast skin elasticity, breast deflation, breast measurements such as the nipple to fold distance as well as the nipple position. Without knowing your specific measurements its not reasonable to say definitively. With patients who have good nipple position the decision as to whether a lift is needed can also depend on the size and shape of the implant chosen. The most reliable opinion you will receive is from an in person examination. I would recommend a second opinion if you have doubts. 

Best wishes,
Dr. Jan

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a breast lift.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon