My breasts are very saggy, heavy and the nipples point down. What would be the proper way to correct this?

Seek a consultation with board certified plastic surgeon to determine type of lift with saline or silicone implants. Consider Submuscular placement of implants 

Thank you for your question.  Without photos or an in person exam, it is difficult to make a true determination of what procedure would best help you achieve the look you desire.  However, based on what you are describing you may be a candidate for a breast lift with implants.  Schedule a consultation with a board certified plastic surgeon to be evaluated, discuss your options, address your goals and work together to create the surgical plan that will best helkp you achiev it.With kind regards,Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.Las Vegas Plastic Surgeon