Breast lift or just gummy bear breast augmentation? (Photo)

A side view would be helpful, but based on the images and information provided, it seems that breast augmentation alone could be a suitable option for you. Given your good skin tone and mild grade 1 ptosis, gummy bear implants should restore volume and enhance the shape of your breasts without the need for a lift. This would help with the upper fullness and give you a more youthful appearance, although it may not fully address the nipple position or any minimal sagging. If you're comfortable with a slight amount of sag, this could provide a natural-looking result with a reduced recovery time.
However, if you're aiming for a more "perky" appearance and want to address nipple position or skin laxity more effectively, a breast lift combined with the augmentation would likely provide the best outcome. This would reposition the nipple and remove any excess skin, creating a firmer, lifted shape. If you are unsure, it its worth continuing with consultations to ensure your expectations align with the results.
Krishna Vyas, MD, PhD, MHS
Harvard, Hopkins, & Mayo Clinic Trained
Aesthetic Plastic Surgeon
New York, New York

Hi, thank you for sharing your question. Based on this photo, it’s unlikely that you will need a lift. Implants in the absence of ptosis will provide an excellent result.

Dear Sincere167773, thanks for sharing your questions and concerns, after evaluating your case if you are looking just volume breast augmentation with implants will solve this, but due to the position of your nipple under the inframammary fold and this little ptosis you look like a great candidate for breast augmentation with implants rather than lift with this you can ensure long term perky results. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

This answer can be a difficult call without a good examination. It seems from your photograph that you might do very nicely and have and excellent result without a lift. Good luck with your surgery!

Dear Sincere167773,
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