Could I go with a lift plus Galilee or implants with Galilee for lift? (Photo)

I would recommend an implant, Galaflex (internal bra for support), and a anchor pattern style lift. I do not think it matters to stage the procedure if the implant is placed below the muscle at the time of the lift.

The technique I recommend is 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.

Based on these photos you would benefit from breast lift and implants. None of these would decrease your chances for breast feeding. Whether you would like to do it in the same surgery or devide it in two surgeries should be something to discuss with your surgeon. Good luck.

First, the internal bra does not lift your sagging breast tissue and would be of no benefit as a lift. it is useful in women who have stretched and thinned their tissue with large implants and need to support the weight of the implant. Second, you can just have an augmentation for now. After children, your breasts will probably be different, and you can have the lift then. You might even want to adjust your implant size as well. Some gain breast tissue and some lose after pregnancy.

In your particular case, you have very little breast tissue and a lift (mastopexy) alone would result in very small breasts. That said, you would do very well with a Gummy Bear Breast Augmentation combined with a vertical mastopexy. The implant helps maintain your volume and acts as a hanger to keep the breast lifted. The procedure takes 1.5hrs and you will have full recovery in 2-3 weeks.

Thank you for your question. Thank you for including your pictures. However, I wish you had included a profile pic. When determining lift or not, the most important consideration is your nipple position in relation to your crease. Ideally, your nipple should be about 6 cm above your crease. How much longer (lower) than this distance is what will determine what type of lift that you will need. If you are looking for "perky", I believe the best thing for you would be implants, with a lift (if you need one). Lifts are great when you need one. But, a lift involves much more scarring. I greatly prefer to minimize scars.

When a breast lift augmentation is done as a staged procedure usually the augmentation is done first and the lift is the secondary procedure.
I think you’re making things overly complicated and I see no reason why.
Focus your efforts on finding the right provider then let that person guide you through the decision-making process.
I suggest you do that by relying exclusively on in person consultations, avoiding virtual consultations whenever possible.
Best,
Mats Hagstrom MD