Best way to deal w/sagging, pendulous, asymmetrical breasts? (Photo)

Based on reviewing your photo, I would tend to agree that a mastopexy (breast lift) would be the best way to address the breast sagginess and even asymmetry that bothers you.  I that a medial pedicle technique will give you a better shape and projection than the traditional inferior pedicle.  I think it is also conceivable that at some point after the breast lift, if you desire more upper pole fullness that you may decide to add a small preferably silicone gel implant which can be used to further improve upper pole fullness.  This may not be necessary but it is something you should have in the back of your mind as a possibility. I would not recommend adding an implant at the time of the lift.  These are all important things and options to discuss with your board certified plastic surgeon. I hope this helps.

Based upon your photos, you appear to be an excellent candidate for mastopexy. The asymmetry is easily corrected via concurrent unilateral reduction. Alternatively, if you wanted the increased volume, rather than a reduction of the larger breast you might consider augmentation + mastopexy (with a larger implant on the smaller side).As always, discuss your concerns with a board certified plastic surgeon.

Thank you for your question and photos.  It would be difficult to say what options you have without a physical assessment. Your plastic surgeon will take measurements and discuss breast lift and implant options with you in order to address asymmetry and drooping. All the best!

It appears that you may benefit from a breast lift.  Your asymmetry can be improved by that procedure.  It will involve some scarring on the breast and around the areole.  If you need more fullness and a "pushed up" look, you may also consider breast implants in addition to the lift. 

Schedule a consultation with a board certified plastic surgeon to discuss breast lift options. This will allow for symmetry and higher breasts. All the best,

Your photos do not show a significant asymmetry.  However, breast volume and position are best treated with a lift and volume reduction to equalize the volume.  There are many methods to do this and you can learn more by consulting with a surgeon certified by the American Board of Plastic Surgery.  There are many in your area who would be happy to help you.  

I cannot tell from the narrative your feelings about the size. Better symmetry and breast elevation could be achieved with a breast lift and a small volume reduction of the larger breast. If both breast are too large, a breast reduction would be in order. If you wish to be larger, implants would be considered in addition to the lift, possibly at a second stage procedure. All the best. 

As seen in  the one posted photo a true full lifting operation is indicated. Best to seek a few in person opinions from boarded PSs in your area... 

A breast reduction can also lift breasts and treat asymmetry.  Your breasts will always be somewhat different even with a lift or a reduction. It is best to discuss this in detail with a board-certified plastic surgeon in your area. Below is an example of a patient with asymmetry who had lift/reduction. Best,

Hi. correction of asymmetry is not a big problem when undergoing an uplift (mastopexy). You could also consider having augmentation at the same time if you wish to have an overall bigger bust but in addition an implant gives a lot of fullness to the upper part of the breast. With an uplift alone you may find you do not maintain fullness in the upper breast as gravity will always be pulling the breast down.Hope this helps