What is the best procedure for me to get perky? Breast implants, breastlift, anchor, lollipop.

Dear Ms. Habibti1,Thank you for your questions. Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.My responses are the following:I. SIZEMy responses are the following1)size of breasts is a personal choice. 2)using the formula 1oz. = 30cc ....take 8 and 1/3 oz of rice = 250 cc or 10 oz. = 300 cc and place in a nylon stocking to create your own "sizers". Then place in a full bodied non padded bra and try on some form fitting clothes.Caveat: The bigger you go the faster you will potentially again sag.II. SHAPE1)the reason your breast hang/sag is that your current "skin bra"is larger than your breast tissue.2)there are three main types of breast lifting proceduresa) periareolar (doughnut scar)b)vertical (lollipop scar) a combination of both a & bc)inverted t (anchor scar) a combination of a,b & cBased on the limited photos of you most likely will need option 2-c (the anchor scar mastopexy) to achieve the upper pole fullness you desire.3)implant selection/profile of implant:a)for the same volume the higher the profile the narrower the base width.and thus the rounder the implant with the higher projection.b)there are slight difference in projection between a moderate to high profile implant. However the ultra high profile breast implant is definitely the "roundest"implant available. c)ideally the base width of the breast should equal the base width of the implant. Would need your breast width measurements to pick the best implant, thus I personally chose the profile based on the patients chest measurements (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outer chest/arm area)d) on occasion to achieve the "round look" I will select a normal saline filled breast implant and overfill to achieve a more rounder appearance. However, the breasts may feel more firm.CLEAVAGEIs mostly determined by your anatomy.It can be improved by:1) with accurate placement of the implants, if aggressive surgery to increase cleavage a condition called Synmastia could occur (uni breast or breast loaf deformity)2) post operative massage.MODEL PHOTOSSelect several nude photos of your ideal breasts and bring with you to your appointments.I advise you make several consultative appointments with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally member s of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes and success, R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

HI Habibt1, I think that you will need a breast lift with lollipop incisions and a small horizontal incision in the bra line at a minimum. If you are looking for more firmness, you will need small implants as well. It is best to get evaluated in person by a Board certified plastic surgeon in  your area so he/he an judge the laxity and size of your breasts and discuss your goals as well.Hope this helps a bit.Best,Dr. Christine Rodgers

Based on this one limited photo- in my opinion in order for you to achieve perky breasts- you would benefit from mastopexy.