I want to go bigger and possibly change to tear drop implants. Do I need a breast lift? (Photo)

Dear Nancy0606,
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

One implant is sitting a little high and it could be lowered down in place. You can go some bigger, but I would suggest staying with smooth implants for less long term risks.

Tear drop implants are textured, they can rotate and they have been associated with BIA-ALCL and are not recommended for that reason. Your breasts are asymmetrical in volume, shape and position. I recommend a circumareola approach to reposition the nipple-areola complex higher and more medial and small non-textured implants can be placed submuscular with inferior and lateral plications to prevent them from dislocating into the axillary areas.

Best Wishes,

Gary Horndeski, M.D.