How can I address sagging boobs even after a breast lift? (Photos)

Unfortunately, your result is something that is seen after lift of larger breasts. Gravity is pooling breast tissue down, in lower pole, while upper pole becomes flatter and deflated. Your nipples seem to be in good position, relative to breast mound!. Augmentation with small implants (including small breast reduction to decrease volume of breast tissue prone to sagging?) and tightening of the lower pole with additional skin excision, are some of the possibilities. Good luck.

Dear Plucky76076,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery