What grade of ptosis do I have and what can be done to help my deflated breasts? (photos)

The technique I recommend is a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello, thank you for your question. Certainly even with narrow cleavage you can still implant a high profile. You do have a lot of breast tissue that may need to be lifted but of course Speak to your Plastic surgeon to see what your options are.

Dear SamanthaG85,
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

First, you appear to have plenty of breast tissue, so a lift would work well for you. Second, naturally your breasts sit low on your chest. Even with a lift, you will not have high perky breasts. You can achieve more upper breast fullness with an implant placed behind the muscle, and this will add more volume. I would suggest a moderate profile for you just based on your photos if you want to be larger or achieve upper breast fullness.

If you are happy with your volume but want more upper pole fullness you could consider a lift with auto augmentation. This approach uses your own tissue to create upper pole fullness. If you are wanting additional volume you can consider a small implant as well. I've included a video on auto augmentation that I hope you find helpful.