What grade ptosis am I & will implants alone give me more fullness/volume? 5'2, 34 y/o, 127lbs (Photo)

Dear Gregarious184049,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It's difficult to judge ptosis degree with the arms not at your sides. Based on your photo you will have the best outcome from an augmentation with a lift. Implants alone will give you more volume/fullness but the nipple position will essentially remain the same. I encourage you to visit with a board certified plastic surgeon near you to learn more.

You do have some ptosis or sagging, but the correct amount, probably 2 to 3, cannot be stated with your arms elevated and your photo slanted. with no lift, you can achieve more fullness, but still will sag. Implants and a lift are best.