Ptosis Grade 1 No Lift? (photo)

Although your droop is grade one by nipple position, the lower breast has droop.  If you are OK with a little droop of the gland you may be a great candidate for implants alone without a lift.  I would recommend using 3D imaging to help your plastic surgeon communicate the degree of droop that would remain after implants alone to help you with this decision. 

Thank you for your question. There are some women who will benefit from adding a breast lift to a breast augmentation. In general, if your nipple is located at or above the crease below your breast then a lift is typically not needed. In addition to nipple position, measurements are also used to determine when to add a lift. It's important to know the breast implants do not lift the nipple to any significant degree, so you can't escape the lift by using a breast implant. Breast sagging is a spectrum and women with mild/moderate sagging can sometimes go either way. In this situation, I typically recommend breast augmentation as an initial procedure, waiting six months, and then only performing a breast lift if it is truly needed. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide which procedures are right for you. 

You may not need a breast lift, however to determine this you would need a consultation with a surgeon who has experience with performing breast augmentation on breasts affected by mild to moderate sagging. You can consider Allergan Inspira Truform 2 implants with a narrower base width for more projection. Please see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.