Can I get perky boobs with a breast reduction? (photos)

With the amount of drooping your breasts have undergone with the weight loss, your best outcome will be with a standard breast reduction/mastopexy. This does involve a vertical scar but done appropriately heals a very well. Congrats on the weight loss.

The primary difference between a lift and reduction is that more tissue is removed during a reduction. Therefore, it would be possible to get perkier breasts with a reduction. However, you’ll need to discuss your concerns about scarring as an anchor lift may be more suitable for you (this involves a horizontal and vertical scar).