Do I need a lift or just an augmentation? (photos)

Based on your photos, I would recommend a breast lift to get optimal results.  You could just get breast implants, but most likely you will need to get a breast lift in the future.

You need a formal evaluation by a licensed plastic surgeon and expert in breast lifts, revisions and augmentations to determine what is best for you and your goals.
Breast lift surgery can improve a woman's breast shape by repositioning the breast mound at a higher position on the chest and then centering the nipple and areola on the breast itself. If there is enough breast tissue, I can perform a highly aesthetic mastopexy without the addition of further volume by internally rearranging the breast tissue and removing excess skin. If more volume is needed, especially in the upper portion of the breasts, we will discuss the possibility of fat grafting or silicone gel implant placement. The type of incision required for this surgery (circumareolar, “lollipop” or “anchor”) and the lifespan of the lift depends on each patient’s condition, breast tissue, genetics, weight and hormonal fluctuations, and desired results. 
Augmentation with mastopexy is a challenging surgery that requires significant experience to create a shape that is youthful, natural, and proportionate to the body, while managing the native tissue as well as fat grafts or implants. When performed properly, it can result in a dramatic improvement to a woman’s breast appearance.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Lifts. - Dr. Cohen

In my experience, implants will retire breast fullness. A lift does not appear necessary, unless further weight loss changes your breasts. An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations, especially when you are at your final, sustained weight.

Thank you for your question and for your photos. Based on your photos provided, you are an ideal candidate for a breast augmentation and breast lift. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are.

The best procedure for you is dependent on exactly what your aesthetic goals are. Based on your photo, I think that you are a candidate for a breast lift with implants. A breast lift will address any sagging skin/tissue and improve your overall breast shape while implants provide you the volume increase that you are looking for. Because you already have a significant amount of sagging breast tissue, getting implants alone will create a situation where the breast tissue is falling off the implant causing a "Snoopy dog deformity" if placed behind the muscle. If placed in front of the muscle, these large implants will weigh down the breast and cause a "rock in the sock" deformity. I recommend setting up a consultation with a board certified plastic surgeon to discuss your options. Best of luck!

Thanks for your question. Breast augmentation alone will restore volume in deflated breasts, and provide some lift. However, based on your photos it looks like you would be best served with a combination of breast lift with augmentation.  The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Many techniques exist in breast surgery, and combined lifting with augmentation is especially tricky.  The key is working with an expert, board certified plastic surgeon to get the best plan for the individual.

Thank you for your questions.  Based on the pictures you have provided I would recommend a Breast Augmentation and a Breast lift. This will allow your surgeon to deliver better shape and perkier breasts.  I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and go over your options.  Best of luck to you. 

Thank you for your question.  It is important to determine your goals before meeting with a board certified plastic surgeon in consultation.  Breast implants will add volume and a breast lift would give you added perkiness.  A thorough in-person consultation would include a breast exam to determine skin elasticity and tone.  The surgeon would also take precise measurements to establish the size range and shape of implant that would give you the results you are looking for.  @yorkplasticsurgery

A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust after weight loss. The surgeon you select should be so skilled at breast augmentation and lifts that the smallest scar will be utilized to achieve optimal shape.  I perform the breast augmentation and lift at the same time in virtually every instance, but other PSs will have different opinions.

Thanks for your question! We get this one a lot. It's so hard to tell from pictures. Sometimes, the implant can do all the lifting, other times, a lift + implant may be required. Our recommendation is to consult with a number of plastic surgeons to make your decision.Best of luck!