I'm a 28B. Do I need a breast lift and implants? (photo)

The general rule of thumb is that if the nipples sit below the
inframammary fold (the crease under the breast), then a lift is recommended.
 However, there are several other anatomic factors of the breast as well
as the patient's desires and expectations that further determine whether a lift
is performed or not with or without an implant.  Because a breast lift
tightens up the breast envelope and breast implants expand the breast envelop,
you are more limited by this fact than any other when trying to go with a large
implant.  One way around this issue is to have the procedures done
separately, for example have the lift done first then 6+ months later undergo
the breast augmentation with implants.  In general it is always best to
fit the implant with the patients breast anatomic dimensions thus minimizing
immediate as well as long term complications. Once you are ready, consult with
a board certified plastic surgeon that can then perform an in person physical
exam and help you best decide on a final surgical plan.  

Although it's virtually impossible to make a specific recommendation without a physical examination, your pictures suggest that your nipple areola complexes set low relative to your inframammary folds. Under these circumstances, the combination of breast augmentation and breast lift surgery will be necessary to correct this anatomic deformity.The type of breast lift utilized and the implant size are dependent upon the patient's anatomic findings and aesthetic goals. The majority of patients want breasts with harmony, balance and proportion with the surrounding anatomic structures. They also want a natural look and some upper breast fullness.Achievement of these goals is dependent upon consulting a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your concerns and achieves your aesthetic goals.

Hi Erza,I guess I would ask you if you want your nipple (areola) smaller.  If so you do, then you would need to remove some skin.  Put an index
card in your breast fold. If your nipple is at the edge of the card or
below, you would be a candidate for a lift, either a vertical or anchor.
If you nipple is above the edge, you could be a candidate for an internal dual
plane lift called the dual plane. I know there are many good surgeons in the countries surrounding Qatar.  All the best,  "Dr. Joe"

You
need a lift since your breasts are asymmetrical and ptotic.I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast Lift™.Using only a circumareola incision it is possible to reshape your breast
tissue creating upper pole fullness, elevate them higher on the chest wall and
more medial to increase your cleavage.Through the same incision, implants can be placed.Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have complications
needing revision.Implant profile is
irrelevant in the retro-pectoral position since the muscle compresses it.At size 28 each 100 cc’s of implant
corresponds to 1 cup size change.Best Wishes.Gary Horndeski, M.D.

   Breast lifting with implants is probably the most reasonable option to improve the size, shape, and symmetry of your breasts.Kenneth Hughes, MDLos Angeles, CA