Updated - Grade 3 ptosis, large breasted 30 year old - I want a lift but want large size as well. How, and when? Advice? (photo)

You are on the right track. Loose whatever weight you plan and see a plastic surgeon when stable in weight. You will need a significant lift and can have implants placed at same time which is my usual method, or implants at a second procedure. Keep up the good work.

You are an excellent candidate for a new technique
called The Ultimate Breast Lift™.The
breast tissue is reshaped creating upper pole fullness, elevated higher on the
chest wall and more medial to increase your cleavage.Aligning the areola and breast tissue over
the bony prominence of the chest wall maximizes anterior projection without the
use of implants.This technique avoids
the ugly vertical scars of the traditional technique, maintains nipple
sensation and the ability to breast feed.Since you are a 36 F you do not need implants.Best Wishes,Gary Horndeski, M.D.

Hi,Congratulations on your weight loss!  Nice work.  Keep it up, if you can.  You are indeed heavy breasted, as shown in your photos, and if you add an implant, which is a good idea in general, you may be even bigger.  Be sure to see a BC PS. See the web reference below.   Good luck, Dr. Joe

surelly wil goes  excelent because your breasts are huge and might be very well utilized  to refill and lift both breasts in the  classical waybut i inssist  to put huge implants  wont be  sage in your  case, for more  information please  click on google : mastopexy augmentation 5th generation technique  Dr. Navarro 

You likely have enough breast tissue to accomplish an auto augmentation mastopexy. This surgery will reshape the breast, lifting the breasts an adding fullness to the upper pole using your existing breast tissue. 

BL plus implants,Thanks for sending in your pictures, it helps us out trying to understand your concern. I would definetly go with BL with implants, but it is more likely to be determined in an in person consultation. Discuss with your surgeon thorougly what your expectations are, Good luck in your plastic Surgery Journey!

Hi, my advice is continue with the good work of dieting, healthy lifestyle and exercise which you have used to reduce your weight and carry on loosing weight till you come close to your ideal BMI. Stay stable at this weight for atleast 6  months and then plan the recontouring. you will benefit from a lift and implant and also probably a tummy tuck, hope this helps warm regards Dr Prashantps: do keep us posted of how it goes for you

Thank you for your question. It appears from your pictures that you have a lot of ptosis. It is always best to get to your goal weight prior to surgery for the best outcome. What is your current and desired cup size? During a plastic surgery consult you can be shown what a breast lift alone would look like. Your plastic surgeon could then determine which implant could be inserted to give you the size and shape you desire. Good luck with your surgery.

In my over the internet opinion you are a Grade IV ptosis. You need two separate operations. First a full lifting operation. Than 3 to 6 months healing than a possible large volume implant operation...  

Thanks for your questions and congrats or your weight loss. If you are planning to loose more weight, definitely  you should wait until all the weight is gone to achive all your goals after the procedure. Based on your pictures you need a implants wih a vertical lift, will provide more lift in the saggier breast as well as a smaller areola. It does not require the scar in the fold of the breast. The size of the implants and the type , will be determine in a consultation ,choosing the rigth size for your Wall chest measurements.