Cheerful Based on the photos you have provided, a breast lift, also known as mastopexy will be recommended by most board-certified plastic surgeons. This procedure is required to raise,reshape and tighten sagging breasts - to create a more youthful and lifted appearance. I offer a specialized breast lift technique that not only lifts the breasts but also redistributes volume to the upper pole, resulting in a more augmented and sculpted appearance. The procedure involves removing excess fat and breast tissue from the lower breast and then using micro fat grafting to enhance the upper breast, creating increased cleavage and upper pole fullness. This approach is more durable compared to traditional skin removal/tightening methods, which may stretch out over time. Additionally, I reinforce the area under the most tension by overlapping the dermal collagen in the inferior breast. There are optional techniques that I offer my patients to enhance breast shape/firmness and increase upper pole volume and longevity. One such method involves incorporating a small implant, not to increase breast size but to enhance breast shape. The small implant is positioned near the upper breast pole and this can improve the breast shape and firmness. The mastopexy is then performed to reduce and lift the nipple-areola, reduce lower pole volume and tighten the skin. Another approach involves using Galaflex Mesh, a knitted surgical implant, to provide extra support during a breast lift. This FDA-approved implant is made of a biocompatible material that the body eventually safely resorbs. The mesh is placed internally to reinforce the breast structure, helping to maintain the lifted position and enhancing the longevity of the results. Ultimately, the goal of my breast lift is to provide the patient with improved breast aesthetics and confidence, addressing the sagging concerns and achieving a more youthful appearance. I tailor the procedure to the patient's specific needs and preferences, ensuring a successful outcome.