Breast lift and augmentation: I was thinking of 280cc silicone? (photo)

I appreciate your question.

The size of implant is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Based on your photos, it appears you might benefit from a breast lift and augmentation. It’s good to know you’re realistic about the fact that the lift will leave scars, however choosing a highly-skilled plastic surgeon and following their advice can help to ensure you have as little scarring as possible. With regard to implant size, focus more on the look you’d like to achieve rather than a specific implant size. Clearly communicate your goals to your plastic surgeon and show them photos that represent your desired outcome. Best of luck to you.

Hello dear, thanks for your
question and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift restores a firmer, perkier, and more
aesthetically pleasing shape to sagging breasts. This not only can improve
a patient’s appearance by restoring her youthful, feminine proportions,
but  also help bras and swimsuits fit more comfortably and
attractively. By removing excess, stretched out skin, reshaping the breast
tissue, and raising the nipple & areola into a more forward position, a
cosmetic surgeon can create a more youthful breast contour. Stretched,
large areolae can also be reduced during breast lift surgery, creating an
overall better proportioned, natural looking breast, Actually the perkiness on
a person or another, depends on patients skin and breast tissue

Thanks for your question.  Before picking your procedure and implant size I would seek consultation with a Board Certified Plastic Surgeon to go through and exam and discuss your goals.  Implant size is based on a number of factors.  The most important is your breast width which helps pick the size of the implant in accordance to your aesthetic goal.   Based on your pictures a short scar vertical mastopexy may be enough to achieve your goals.  Best of luck

From your pictures, you should do well with just an implant without any lift. The Size appears reasonable, though it would require measurement to determine this. Because your breasts are quite lateral and the pectorals muscle cuts above and medial to the areolae, I would suggest a sub glandular placement with a textured implant. You appear to have plenty of breast tissue to hide it. Make sure you see a board certified plastic surgeon as there are many non plastic surgeons doing breast augmentation and you are not anywhere near average. 

Thank you for your question.  Based on your photograph give excellent breast anatomy and nipple position.  You should be able to achieve an excellent result with the breast augmentation alone and do not need a breast lift.  For more information please see below: