Do I need a breast lift to achieve fuller breasts? (photo)

I think you would be happy with a properly sized, conservative saline implant (around 200-250 ml) and a vertical mastopexy (lollipop lift). This will help with shape, volume and tightening of the breast. See attached reference for an example. I hope this helps, thank you!

In order to be able to maintain the volume of the implant at a good level. Most likely you will need a lift. Otherwise, the weight of the implant will make the breast sag. It would depend as well on the size of the implant that you’re looking for, but overall you would need a form of breast lift to get the best outcome!

Dear PNW24,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

According to the photo, both your breast volume has decreased and your breast has sagged, and your nipple is located relatively lower. You can achieve the result you want with a breast prosthesis placed in a dual plane and a lift procedure performed in the same session.
Best Wishes
Erman Ak M.D.

Your breasts demonstrate routine changes that breasts go through after pregnancy. Specifically, you notice that your breasts are deflated superiorly and have descended nipples. The majority of your breast volume sits lower than they likely did prior to pregnancy.
A breast lift will restore your nipples to their pre-pregnancy position and remove excess skin which will redistribute your breast volume to a more aesthetic location. The two best options to restore "cleavage" are either a small breast implant or fat transfer. I perform both techniques. Fat transfer is usually performed for my patients who either do not want a breast implant or want more natural appearing cleavage compared to breast implants.
You are a great candidate! Good luck!

Based off of this photo, it does look like you have some breast ptosis or sagging. A breast lift would bring the nipples up to the ideal position which is typically at, or just above, the level of the breast fold. This would also redistribute the breast tissue into a higher position and give you an improved breast shape. If you are seeking more upper pole fullness or larger size, this would achieved with placement of an implant. Breast augmentation with an implant and a breast lift are often performed at the same time so it wouldn't necessarily have to be two separate surgeries. I hope this helps.

From the picture, it seems that you don't have much breast left and have stretch marks and loose skin. If you get a lift, you will have the same amount of breast volume but more compact, so they may seem even smaller although no breast tissue is removed. If you want the fullness on top, then you need implants to fill the top.

After reviewing the photo, I do believe the best result would be with a breast lift and an implant. This will help with shape and size to give you upper breast volume restoration that cannot be achieve with either procedure alone. These two procedures are frequently done at the same operation, so there is only 1 recovery. I recommend seeing a board certified plastic surgeon near you to explore the options.

Implants are centred behind the nipples. Your nipples appear to be below your breast fold, therefore they would sit low on your chest if you don’t get a lift.

You are a great candidate for breast uplift with implants. Both surgeries can be performed at the same time. However, if you wish to achieve perky look only , implants are not necessary. With an uplift surgery you will have the perkiness you are looking for but your breast size will be approximately one cup smaller after the surgery without the implants.