40, mom-of-2, candidate for fat transfer without lift, for increased volume only? (Photos)

Dear Dani Dani Hm
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The first step in rejuvenation of your breasts is a mastopexy . . . to achieve a durable, high, tight breast, a full "anchor scar" lift is needed. This allows the surgeon to be complete in the tissue tightening. This results in a proportionate, maximally lifted "C" cup breast that most women are happy with. If desired, the you can consider enhancement (by fat or implant- saline recommended for least worry) at a later date. Thank you.

You can add fat which will give you bigger and still sagging breasts. You could also consider first a lift, and later add fat if you want more volume. adding volume will not correct sagging.