Which procedure options would help correct deflated breasts with minimal scarring? (photos)

The desired look that you are recreating with your hands cannot be accomplished with a small implant. You will need to consider a lift, which involves incisions on the breasts. Typically the incisions heal well and are very acceptable once fully mature.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for sharing your question and photographs. It appears that you would most benefit from a combination of implant placement to add overall volume to your breast, in addition to a full breast lift +/- mesh. Unfortunately for your desired outcome you will need to have a a vertical incision.