Is a lift and 400cc big enough to get a full look? I'm 5'7" 179lbs right now I'm a 36C. (Photo)

Thank you very much for enquire.After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection.Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".Respectfully,Dr. Emmanuel Mallol Cotes.-

I appreciate your question.

From your photos, it appears that you would benefit from a lift along with augmentation to accomplish your surgical goals.  The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  
I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon

#RealSelf100Surgeon 

#RealSelfCORESurgeon

Thanks for your question and the photo. I think that with an implant alone the breast would not be centered and so the lift is essential. Personally, I'd be careful adding that much weight to your lift b/c the implant will pull against the repair. This is not to say that the implant won't "fit". There's no question the pocket can be made to accommodate the implant, but it might not stay in place. Your skin quality looks fine, but if you have a little ptosis you have had some stretch. Combining the implant and the mastopexy is a great operation, but it has a higher rate of revision secondary to trying to control the variables of the pocket, the implant and the lift...and then doing it on the other side and expecting it to heal the same way. Pushing the limits of implant size will result in higher risk of asymmetry. Make sure you have an experienced surgeon to help explain all of this to you. Best of Luck!