Grade 1 ptosis. Do I need a lift? Saline or silicone? (Photo)

Hello,
You are mistaken about your degree of ptosis, and no, this is not a 'bordeline' case as described by a young colleague. You will need a breast lift if you want aesthetically pleasing breasts. You are also mistaken that the type of implant will have an impact on your outcome. Go visit a few ABPS certified/ASAPS member surgeons who specialize in all forms of cosmetic breast surgery, not just implants.  Best of luck!

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs and breast asymmetry, the best shape and contour could be achieved with an implant
and a breast lift.  Without a lift in addition to the implant, this will not have a natural
shape.  A breast lift with an implant can result in a very nice shape if
good technique is used.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon