Are my saggy breasts genetic or caused by something else? (photos)

Question

So,to start off, I'm 17 years old with b-cup breasts. My breast size has not changed for the last 3 years. My breasts have been saggy ever since they started developing and they have continued to get worst. They are now low-hanging with large areolas that cover a huge portion of the breast. Both my grandmother and my mother have this problem but they are bigger than me and I know that sagging happens naturally with large breasts. My breasts look like the third from the right in the picture.

Nelson Castillo, MD · Answer

Thank you for your question.  Though there are factors that a patient can control to help prevent breast sagging, such as using supportive bras and avoiding sun damage, much of breast ptosis is dependent on a person's genetics.  Genetics plays a role in breast size, breast development speed, skin elasticity, and collagen support, all of which are key factors in maintaining breast appearance and health.  Speak with a board certified plastic surgeon who can discuss treatment options with you that combat early signs of sagging.

Steven Wallach, MD · Answer

Sagging of the breasts occurs for many reasons, and genetics certainly plays a part. Weight fluctuations, pregnancy, and aging also influence it.

Gaurav Bharti, MD, FACS · Answer

There are many factors that affect breast shape and volume including genetics, pregnancy, breast feeding, activity level, and weight gain and loss. The good thing is that you have options to improve your size and shape when you are ready!

Remus Repta, MD · Answer

Thank you for the question.  It sounds like there is a genetic source of your breast shape.  It is not uncommon to have larger areolas and some ptosis (sagging) with larger breasts and there is in general a range of what is considered normal for both.  If the appearance of your breasts continue to bother you as you mature you may want to have a plastic surgeon consult with you to determine what your options for breast shaping are.All the best,Dr. Remus Repta

Andrew M. Lofman, MD, FACS · Answer

This is most likely genetic in nature. Thank your parents for this one. There are surgical options depending on the degree of ptosis and the quality of the skin.

Are my saggy breasts genetic or caused by something else? (photos)

Answers (5)