Could I get away with just implants with fat grafting or would I need a lift too? (photos)

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

First, reach your weight goal. Second, naturally your breasts sit low on your chest and your bases cannot be raised. Even with a lift, your breasts will still sit somewhat low. A lift and implants will do better, and implants can help give upper breast fullness, especially when placed behind the muscle.

Based on these photos, you are a borderline case; you can achieve nice rersult with implant augmentation only providing that you want larger implants. In person evaluation which will include assesstment of your skin and breast tissue would help. You may consider doing augmentation first and, if not happy, breast lift 6-8 months later? Good luck.