1 month post-op: disappointed with results. Could I go bigger with a revision? (Photo)

Since you needed a lift, keep your implants behind the muscle or you will sag fairly quickly. Also, you will have better upper breast fullness with implants behind the muscle. Bigger will sag sooner.

You actually have a very good result from what is a difficult operation. I would not recommend going any larger. Large implant plus a lift will lead to more sagging

Dear research,
Many thoughts come to mind with your question. The first of those is that your "wish" photos are only partial photos, i.e. we don't know if those breasts are being pushed up or in with either a garment or hands. Secondly, the "wish" patient(s) don't appear to be breast augmentation/mastopexy patients as you are. Therefore, depending on your preoperative appearance, the "wish" photos may be completely unrealistic. You can't turn apples into oranges. Larger implants might give a closer result, but as noted, will age (read sag) more quickly. The conversation with your "one of the best local surgeons" should not be a difficult one. He/she wants happy patients and should welcome it. Good luck!