Should I get a breast lift with my augmentation?

It’s difficult to say for sure based on your photo, but you appear to have mild sagging. Implants may help lift your breasts, but they’ll also make you larger. If you don’t want to go larger, then stick with the lift alone. But you should know that a lift alone may not give you similar results as those in your wish pic because those breasts are quite rounded, results that would be achieved with implants.

First, schedule a consultation with an additional board-certified plastic surgeon. That will likely provide a better perspective about the best surgical plan moving forward. It's not possible to estimate the degree of your breast sagging based on the photo, but if you're satisfied with the size of your breasts, a lift may accomplish the aesthetic goal you want. As others have pointed out, the "wish" photo you've included appears to be of a woman with small breasts and little existing tissue. If you do want the perkier look represented in that photo, you will need to combine a breast lift with implants. 

Thank you for your inquiry and photos. It is difficult to assess from the angle of your photo but It appears that you have grade 2 ptosis. Based on your comments, since you "don't want to be any larger", then perhaps you should reconsider having implants put in. Placement of an implant will be able to correct minor degrees of ptosis but may not provide enough of a lift if the sagging of your breasts is your main concern. It is true that a mastopexy (lift) will leave scars on your breasts but these scars tend to fade with time and can become fairly inconspicuous. I believe the scars are an excellent trade off for a youthful shape and form to your breasts. A consultation with a board certified plastic surgeon will explore what you are expecting as far as breast size, shape and different techniques used for this procedure. A breast sizing session and/or a 3D Vectra imaging session are excellent tools used to help you envision results. Be sure to find a physician you are comfortable with to give you the results you want. Good luck. James Lee 

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

Thank you for your question and pictures. From your picture it does look like you may be a candidate for a breast lift + augmentation to give you the results you are looking for. I would want to examine you in person to give you my final recommendation. Its possible that with the breast lift alone your breasts would not be as full as you want them to be, so I assume that is why the surgeon you met with recommended breast implants instead. You should consult in person with another board certified plastic surgeon who specializes in breast procedures to make sure you get the best advice prior to surgery. You want to feel 100% comfortable and confident with your surgeon before you schedule your surgery date. Good luck!