Do I need a boob job? Is a lift necessary? (Photo)

Dear Hepburnn,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A breast lift would lift your nipple-areolas to a more pleasing location so they are not in the lower pole of your breast. A slight reduction can also be done if you would like to be a bit smaller. An implant will not lift your nipples and will only enlarge your breasts further.