I am wondering if I am grade one or two sagging and do I need a lift? (Photos)

Your breasts are too low on the chest wall.  Placing implants alone will give you large low breasts and will make you look heavier.  You definitely need a lift and the technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Disagree with docs who say no lift. Don’t worry about grading, your breasts are large, fall below the fold substantially, and have asymmetric nipple position. You will need a lift even if you want ‘big fake’ look, assuming you also don’t want ‘droopy and wonky’ look too. 

Based on these photos you seem to have  a degree of ptosis that will need a lift beside augmentation. It is very hard for an experienced surgeon to give you an accurate evaluation based on these photos; what can you expect from an online coordinator who may have no basic knowledge about evaluation and procedures needed?. I would advise you to do in person evaluation with a board certified plastic surgeon before you decide to fly to have it done elsewhere. Surgery of this kind should not be treated as an Amazon order. Good luck.

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  I view it as a major red flag that you have not spoken to your actual surgeon.  I would strongly advise looking for a different surgeon at this point.  You appear to have Grade 2/3 ptosis.  Based on your photographs, the best shape and contour could be achieved with an implant and a breast lift. Your nipple sits below the inframammary fold and without a lift in addition to the implant, this will not have a natural shape.  A breast lift with an implant can result in a very nice shape if good technique is used.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Hello and than you for your question and sharing your photos. A physical examination is needed to give you a better advice. You do have grade II ptosis, and I do believe you will need a breast lift with your implants. This has to discussed in details with your plastic surgeon. Best,
Pejman Aflaki, M.D.                                            
Johns
Hopkins-trained double board-certified plastic surgeon

Dear jlemon0201,
based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thatsbeing brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your breasts are sagging now and will still sag unless a lift is done. Please do not choose implants that are too large and heavy for your frame, or you will just sag more and thin your own tissue.

Hi and welcome to our forum!
From your photos, the distance from the top of the breast bone to the nipples is slightly increased, the nipples reside slightly above the fold at the bottom of the breasts, and the breasts are relatively symmetric. 
As the nipples reside above the fold, augmentation alone will provide a satisfactory result if larger implants are utilized. If relatively smaller implants are desired, a lift would increase "perkiness" as there would otherwise be a degree of sag. The "fake look" may be excellent when younger but will predispose to sag later. 
Best wishes...

Hi jlemon0201,
Based on your photos, you look like you have grade 1 ptosis. Given my experience with prior patients, you would probably need a lift unless you went with a fairly large (>500cc) sized implant.
-Dr. David Nguyen
Heavenly Plastic Surgery

So, you have consulted with a person without a medical degree who is making recommendations and will not meet the surgeon until after you have traveled?   Medical tourism has limitations well beyond this.   I believe that you need a lift but an in person consultation is necessary to make a determination.  If the physician isn’t available by phone, stay home and find a board certified plastic surgeon. There are thousands of well trained physicians in the US at a variety of price points.