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.  

   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