Sagging Breasts Age 19. Lift? Teardrop Implants? (photo)

I'm 19 years old and have always had large breasts at the age of 13 I wore a size 34G. As of recently lost around 40 pounds due to healthy eating and exercise. I have always had an issue with sagging but even more so now that I've dropped down to a 34DD. Although I'm a 34DD my breasts aren't full and are actually very small. I have a lot of excess stretched skin and not a lot of mass in my breasts. I want to have a lift but also want to obtain a look of perfection with a teardrop implant. HELP

Doctor Answers (12)

Breast lift and implants for sagging breasts

Thank you for your question and photograph.  A breast lift with a minor breast reduction will lift and position your breast to a more natural and pleasing appearance.  Because of the weight you have lost you most likely will also need an implant to give you the full firm look that you want after your breast lift.

Please read the link below.  Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in breast lift surgery and who has an excellent reputation in your community.

Web reference:

Boston Plastic Surgeon
5.0 out of 5 stars 24 reviews

Breast reduction


Dear Victoria,

Thank you for the question and the photos. 

I think you would greatly benefit from a breast reduction which results in a natural slope to the breast. However if you prefer more fullness in the upper pole of the breasts adding a high profile round implant will be more appropriate. 

Best of luck...

Web reference: Http://

New York Plastic Surgeon
5.0 out of 5 stars 16 reviews

Breast lift


Hi Victoria,

     Congratulations on the weight lost.  You clearly would benefit from undergoing a breast lift with implants. Although you are currently a DD, I would still recommend using an implant.  The use of an implant would serve to give you a better shape and more upper pole fullness.  It will not be used to increase your breast volume.  There are some surgeons that prefer to perform this surgery in two stages, I disagree.  I believe this surgery can be performed quite safely and effectively in one stage.  The difference in opinion stems from the type of lift these surgeons perform.  There are some techniques that make it unsafe to combine these procedures and some techniques allow for the combined performance.

     In your case, I find no advantage in using a tear drop implants.  There are certain cases where their use is appropriate, but not with you.  As to the type of lift you should undergo, it should be performed with very little skin tension. These lifts relay on the blood supply coming from above.  In this way, the bottom part of the breast tissue can be used to support the lift.  Although many of these lifts can be performed without the horizontal incision, your breasts may require some horizontal component given your size and shape.

Good luck,

Ary Krau MD FACS

Miami Plastic Surgeon
5.0 out of 5 stars 29 reviews

Sagging Breasts Age 19. Lift?


Lift, yes. Implants, ??

A lift would clearly have benefits. You would probably need a full anchor pattern lift, and even those of us who commonly combine lifts and augmentations in one setting would think twice about the added risks in your situation.

I would start with a lift alone, and then if you really think you want to be larger, discuss it in six months with your surgeon, reviewing all the pros and cons. 

When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.

Seattle Plastic Surgeon
4.5 out of 5 stars 28 reviews

DD cup and Needs Lift and Implant


  If you already are a DD, I would hesitate to recommend an implant as that will only make you larger, which may have long term adverse health consequences.  To create breasts that are higher and have more fullness, a breast lift can be performed.  The breast lift can produce very nice shapely breasts.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts and augmentations each year.  Kenneth Hughes, MD Los Angeles, CA

Web reference:

Los Angeles Plastic Surgeon
5.0 out of 5 stars 147 reviews

Lift with breast implants in weight loss patients.

Patients who have lost a lot of weight often complain that they feel that they have also lost breast volume.  Often, they also complain of the loss of volume in the upper part of the breast - an implant can help replace this loss, even when the overall goal is not necessarily much increased volume of the breast.  A better choice of implant for you would be a round implant with enough width to fit your chest.  A teardrop implant would enhance the lower pole more than the upper, which would not be appropriate.
Las Vegas Plastic Surgeon
5.0 out of 5 stars 33 reviews

Breast lift and augmentation?


Based solely on your photos, it looks like you could benefit from a reduction which would reduce the volume and lift your breasts.  Best to be seen in person to evaluate you properly.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

19 year old breast lift


Congratulations on the weight loss!  After losing a large amount of weight it is very common for there to be a discrepancy between the amount of skin that you have and the amount of breast tissue.  This can cause the breasts to sag.  This can be corrected by just removing extra skin with a breast lift or with removing extra skin and adding an implant.  You are not too young and if you are healthy look like a great candidate.

Dallas Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast lift first, then implants


Based on your photos and your recent weight loss, I would recommend a breast lift, either a vertical (lollipop) or anchor incision, followed at a later stage by an augmentation if you still want more "fullness" or volume. Due to the degree of sagging you already have, it can be difficult to combine the procedures at the same time with any predictability as to your outcome. I would consult with a board certified plastic surgeon experienced with combination breast lifts and implants.

Best wishes,


Web reference:

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 121 reviews

Breast Augmentation/Lifting after Significant Weight Loss?


Thank you for the question and pictures.

You should be very proud of your significant weight loss;  unfortunately a consequence of this weight loss is a loss of  breast tissue volume  and  the breast ptosis that you are experiencing.

 You will benefit from breast lifting and/or breast augmentation surgery. Exactly what procedure will be most beneficial will depend on your personal goals. In my practice, I prefer the use of goal pictures during the goal communication process.

Personally, I do not favor the use of “teardrop” breast implants given the potential for rotation of the breast implants,  potentially necessitating additional surgery.

 Also, keep in mind that “perfection” is generally not possible;  you may benefit from a full discussion regarding realistic dictation with your plastic surgeons.  Also, make sure you understand the potential risk of complications associated with breast augmentation/lifting surgery. You may find the attached link helpful in this regard.

Best wishes.

Web reference:

San Diego Plastic Surgeon
5.0 out of 5 stars 623 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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