What type of procedure would be best suited for my moderate saggy, asymmetrical breasts?

Good morning,
The bellasoma will leave you flat and wide- the vertical is really the way you lift and project. However, a small implant would give you a better result regardless of which lift you choose!

To achieve a perkier, rounder appearance will require a lift and augmentation. It may be possible to achieve the lift with a donut mastopexy technique, which would address areola size at the same time. Augmentation will add the round shape you are looking for and add volume to your upper breast ,which will make your breasts more perky as well. Augmentation can be achieved with either an implant or your own tissue by way of liposuction and fat grafting. An in person examination will help determine which combination of techniques are best suited for your goals.

Hello,
Thank you for the question.
Based on your photos, you appear to be a good candidate for a full mastopexy (breast lift) which will put your nipples into the correct position, decrease the size of nipple/areola and allow excess skin to be taken away, giving you a more youthful looking breast. Some people are a little apprehensive to the full breast lift due to the scars, but typically they do very well.
Donut breast lift can help decrease the size of the areola and elevate the nipples, but it will not change the overall shape of the breasts.
Sometimes, breast implants can also be added in order to increase upper pole breast volume.
I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon