Deflated B after breastfeeding & weight loss - will I need a lift?

Your nipples are right at your breast fold. Which makes you borderline needing a lift. A well done dual plane augmentation would give you a nice result with full breasts and a centralized nipple. But it will be a mature breast look and not super perky. Personally I would recommend the dual plane augmentation and have the lift in the future if it just is not perky enough. Chances are you can avoid the cost and scar of a lift. 95 % of the dual plane augmentation patients I do never feel a need for the lift. Good luck.

Although it is sometimes difficult to judge by photos alone whether a patient needs a lift, you have significant amount of skin and tissue in the lower pole which extends beyond your breast tuck. I would recommend a breast lift and breast implants for adding the volume, specially in the upper pole.

I would recommend you see a board certified plastic surgeon that has experience in performing a breast augmentation and mastopexy at the same surgery.

Hope that helps.