Teardrop vs round implants? (Photo)

Please be aware that my comments
here are general and can’t be taken as specific medical advice. Thanks for your
questions. With respect to implant shape, you may find that you get better
results with round implants since you mentioned a lack of volume at the top of
your breasts. If you have your heart set on anatomic implants, remember that they
have textured shells that keep them from rotating within the breast pocket,
even in active patients like yourself. As far as the type of lift, as other
surgeons have pointed out, your photos suggest that you'd be well-served by a
breast lift with an anchor incision (rather than circumareolar). A
circumareolar lift is intended for patients with a minimal amount of breast
ptosis. If you go this route, you may notice that your breasts sag even more
than they previously did because of the extra weight added by the implants. Best
of luck with your decision.

In my opinion- you need an anchor lift in order to achieve your best looking breasts. Your nipple point downward and a circus-areola lift will give you a very limited repositioning. I favor a limited implant size when performing a lift and implant at the same time.

Thank you for the question and pictures. Based on your photographs, you should have a very nice outcome with breast augmentation/lifting surgery.   I would have concerns that the circumareolar breast lift that you are considering will not be "powerful" enough of a breast lift to achieve an outcome that you will be pleased with.  Be very careful with this decision-making…In my practice, I would recommend the use of round breast implants;  personally, I do not see any advantage of using shaped breast implants in your case.Ultimately, you will do well select your plastic surgeon carefully and communicating your goals, questions, and concerns. In other words, careful measurements, dimensional planning, and careful communication will be key.Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery. It will be important that you educate yourself regarding the pros/cons/risks/complications associated with breast augmentation/lifting surgery. Only after doing so can you make an informed decision whether or not to proceed.You will find a lot of information on this website and on the attached link.
Also, generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.
I hope this, and the attached link, helps. Best wishes.