What are the implant shape options with a full mastopexy? Am I a good candidate for a mastopexy with augmentation?

A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is the most suitable for #breasts which sag or droop (ptosis) as a result of development, aging, pregnancy, breast-feeding and weight loss. This can also be combined with a minor breast reduction to reduce the breast width if desired. Some patients will experience better results to restore superior fullness if an #implant is used at the time of mastopexy; better known as #Augmentation/Mastopexy. #FatGrafting is another option to using #breastimplants and requires a small amount of liposuction to obtain the fat which is the prepared and transferred to the breast.  A hybrid operation may use both an implant and fat to provide the best contours of the lifted breast. Altogether, the surgery will create an elevated, more youthful breast contour. Also, the nipple and areolae of the desired size and correct heightmay also be addressed.

Thank you for the question and  pictures. Based on the photographs, I think that you are starting out at a good place and should have a very nice outcome with breast augmentation/lifting surgery. Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery.
Also, generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.I hope this, and the attached link, helps. Best wishes.

Hi IslandElizabeth.  Thank you for your question and for sharing photos.  Examination of your breast tissue, movement and measurements is necessary to know for sure.  Placement of a round implant underneath the pectoralis muscle or use of an anatomic shaped implant are two methods of achieving upper sloping.  A lollipop scar can be completed with beautiful results and is an advantage because you don't need the full anchor.  Use of a full or high projection implant will assist the lifted appearance.  In general, sagging breasts have loose soft tissue envelopes but if your weight is stable, long term maintenance of shape should occur.  Be sure to consult an ABPS certified plastic surgeon for more information.  Good luck!