Do I need a breast lift or will just implants work? (Photo)

Hello,
Thank you for the question.
Based on your photos, you appear to be an excellent candidate for breast augmentation and it may be be performed without a breast lift, however, it is difficult to tell definitively without an in-person examination.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection.
I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Good morning,
I see several issues- you have a wide gap so implant selection to minimize the gap and create nice one finger cleavage is SOOO important- make sure you discuss that and don't choose any surgeon who says "we can't do anything about that- it's your anatomy"- total hogwash. Also your breasts look like they may be two different sizes? Its an odd photo angle but if they are then two different sized implants would be the correct choice- about 1/3 of patients need this to achieve the best symmetry. Also your nipple height seems to be a little off, but again it could be the camera angle. If your nipples are not level when you stand in the mirror with your arms down by your sides then I would recommend a donut mastopexy to lift your nipple position to the same level and tighten your skin.