I still have sagging breasts when laying sideways and leaning over after breast lift. Any suggestions?

Breast lift procedures are designed to have your breasts look best in an upright position. The success of a breast lift is not determined with the patient in a side or bent over position. I could give you more information only after an examination or review of good photographs.

 Without photographs it's impossible to make a specific observation. However if there is surplus skin contributing to your issue it may be that excess skin should be removed with the incision extended in the infra mammary fold.

I would consider re-posting your question with some photos. This will help us give you more useful recommendations.

Responders are at a huge disadvantage since there are no photos posted.  One thing I can say is that it is unlikely that converting your lift to an anchor pattern would change the fact that the breasts are without sufficient structure.  Implants or fat grafting might be a better choice. All the best. 

Its really hard to give you a useful answer without an exam or at least pictures.  Sorry but it is just too vague.  Good luck.

without photos, it is hard to say. All breast look looser when we lean forward. That is not a realistic way of looking at breasts. Did you lean forward and talk to your surgeon preoperatively?