Implants and lift or implants? Looking for firmness, not so much fullness (Photo)

Hi, thank you for sharing your question. Based on this photo, you appear to have some ptosis and would benefit from a lift in addition to an augmentation. This will give you the proper shape. Firmness will likely depend on the size of the implants and the tightness of the skin envelope after the lift. I hope this helps.

Dear Charming321713,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery