Hello, thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar. Based on only a single picture, a measurement of “29”, and not a physical examination I would suggest the following options. For the best results, I would suggest a breast implant and a breast lift. Based on your picture, the bigger implant you select, the less breast lift you will need — up to a point. If you choose an 800cc implant, this is not gonna work.
Experienced breast surgeons create a personalized surgical strategy just for you in advance of your breast lift. The plan takes into account your specific goals for the breast lift, along with your body size, age, skin tone and elasticity and more. The best breast surgeons never perform a generic breast lift—every procedure should be designed to fit your unique needs and your anatomy.
Less common is the Vertical Scar Technique, which has less scarring than the Wise pattern, but has a vertical scar visible in the middle underside of the breast. The vertical scar has the advantage that it can give the breast a better shape and the scar does eventually fade with time. I use this technique primarily for breast lifts and breast reductions of any size.