Grade 2 ptosis/sagging. Would a breast lift (and maybe also reduction) be recommended? (Photo)

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The right breast can be reduced to match the left breast.

Best Wishes,

Gary Horndeski, M.D.

Good morning,
A full anchor type breast lift is probably your best choice based on the size and asymmetry of your breasts. It will allow the size asymmetry to be corrected and usually results in maintaining the ability to breastfeed. Future weight gain or weight loss will make your breasts slightly larger or slightly smaller.

Dear Magical815670,
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 a surgery, I would suggest you to 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

You can have a breast reduction for the larger breast and a lift for the smaller breast. However, with pregnancy and breast feeding, this may have to be redone. Otherwise, wait until you have had all the children you want, and then get the girls fixed. There is some risks to breast feeding with any breast surgery.