After taking a look at the picture I would recommend doing a breast lift with a T-inverted or a lollipop incision with silicone implants under the muscle.
I recommend a new technique called The Horndeski
Method™.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 implants.This technique avoids the ugly vertical scars of the traditional
technique, maintains nipple sensation and the ability to breast feed.
Gary Horndeski, M.D.
You are almost certainly going to need a lollipop lift. It really will be the only way to move your nipple up to a more youthful position and tighten up the lower skin laxity,
The implants will provide a firm structure around which your breast tissue can be contoured.
The scars are more than with other types of lifts, but , in the end, this type of lift will give you the best shaped breasts.
Best to you,
Dr. Christine Rodgers
Thanks for posting your question. I am happy to try and help you.
You will require a breast lift regardless of the breast
implant size. There are several different types of lifts and the size of the implants will influence how much skin needs to be removed. So you have to decide on size. You will at least require a vertical lift, perhaps more.
The link below will provide an excellent explanation with pictures about breast lift options.
Dr. Michael J. Brown
Northern Virginia Breast Augmentation
Without an in person examination, it's impossible to say for sure, but based on your photos, it looks as if you'd need an anchor breast lift in addition to your implants. Hope this helps and good luck!
Although an in-person examination is always more accurate, in my opinion from your photo you would appear to need an anchor breast lift. The periareolar breast lift is done in patients who only need a minor lift. Its advantage is in avoiding the vertical scar from areola to fold. However, it is a weak lift and only useful for minor nipple elevations. If it is used when there is more than about 2 centimeters of breast overhang (or when the nipple needs more than about 2 centimeters of elevation), then the periareolar scar gets worse in quality, areolar stretching can become an issue over time, and a flattening effect in the areolar region can be noted, all of which compromises the result. Some patients think that they want to avoid the vertical scar, but a good lift, a pleasing shape, and a nicer scar around the areola all make the vertical scar well worth it.
From the photos you have shown, I would do a vertical left with a sub muscular silicone gel implant. That should get you the look you want. I recommend you see a board-certified plastic surgeon in your area looking can counsel you in this regard.
You should sit down with a board-certified plastic surgeon regarding the benefits and alternatives of different types of lifts. From your photographs, it seems apparent that you will require the vertical incision of a lollipop lift or and anchor pattern.
Most patients require at least a lollipop incision with a breast lift and maybe also a transverse incision across under the breast as well. You may need both depending on the size of the implant you choose. The final plan is best determined in person during a consultation.
The type of scar that you will require during a breast lift will depend greatly on the implant size chosen. The larger the implant the shorter the scars will be