I am very unhappy with my breasts at 47 years of age and wish to know what to do about them? (photo)

Thank you for your question.  Based on your photo it appears that the first thing you would benefit from is a lift.  Meet with a board certified plastic surgeon, who will perform measurements to determine exactly what type of procedure you would benefit from the most.  In my practice I will often do a lift first and then after the healing is completed from that procedure the patient and I will revisit whether or not she wants a small implant to restore fullness.  Good luck.

From your photographs, to get the most aesthetic result without adding any more volume, a lollipop or anchor pattern breast lift would best serve you. It is completely your decision whether you prefer better nipple position and a younger looking breast, or scars. It is a trade-off that you have to balance.