I'm 18, a 38D and my breast sag. Would a Breast Lift or Breast Augmentation be best for me? (photo)

  A breast lift would improve the droop and shape of the breasts, but this would not be covered by insurance.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question! It is normal for the breast to lose its firmness and perkiness over time, which is accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity. This ultimately results in ptosis, or sagging, of the breast with a “deflated” appearance. Women often seek the mastopexy, or breast lift, procedure to regain the previous youthful appearance of her breasts and desire that uplifted and perky appearance of her breasts. Women report increased confidence, self-esteem, and femininity once she achieves this desired shape and fullness. Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage. The implant itself will add these things - given your photos, a breast lift alone is a reasonable decision. It us also common for the areola to enlarge and stretch during these changes. The lift will also serve to raise the nipple areolar complex to its appropriate position above the breast crease and at the most projecting portion. In addition the areola size will be decreased, which is often desired by the woman. So, the changes of your breasts are normal and will continue to occur. The decision for a breast lift will be up to you...depending on how much you are bothered about the shape as well as your concerns. Consult with a board certified plastic surgeon well-versed in breast surgery and s/he will assist you in deciding if a mastopexy will be the right decision for you.  Breast procedures to simply improve shape or appearance typically are considered aesthetic procedures and do not qualify for insurance coverage.  Thank you for your question! Hope that this helps. Best wishes for a wonderful result! 

Thank you. I think you would be best served by getting a breast lift with a small reduction to equalize your breast shape.

HelloIf you are happy with the size of them It is best just have a breast lift.You won't be bigger but you will get a really nice look. You have the volume to give you breast i nice shape and sizer without using any implant

Your only bet to get insurance to pay for breast surgery is a breast reduction.  They will not pay for a lift or augmentation unless you are undergoing a reconstruction.  From your photo, I would recommend a breast reduction to go from a DD cup to a C cup.  This includes a breast lift so the position of the breasts will be improved.  Best wishes!

You may be able to benefit from a breast lift depending on what you wish to look like afterwards. You didn't mention if you wanted to remain about the same size. A breast lift will mostly reduce your breast size, but it will also make your breasts "perkier" and get rid of the sagging. Sometimes insurance will cover breast reduction surgery, but it is only after documentation that all other ways of alleviating pain have been taken. It is best for you to consult with a board-certified plastic surgeon who has experience in breast surgery. Good luck with your decision!

Thank you for your question.  Insurance only covers a breast reduction - you need to check with your insurance plan - sometimes it's excluded.  In your case, you need a lift or a reduction to correct the sagging.  With a lift, you breast volume would remain about the same.  With a reduction, you can reduce the size of the breast and correct the sagging at the same time.  Implants will only make your breasts bigger but will not fix the sagging.

Thank you for your question. A breast lift with implants either saline or silicone is the best option for your pictures provided. Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote. Choose a board certified plastic surgeon who has done a ton of Brazilian Butt Lifts and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon and choose one wisely.

You would benefit from a combination of a breast lift and reduction to achieve symmetry. You do not mention what size you wish to be bigger, smaller or the same. As staed by others you will have scarring and an implant could help to give extra fullnes to the upper pole of the breast but this will likely not be covered by insurance. you should consult with a board certified plastic surgeon  and discuss your goals for surgery.

You will likely be happy with just a lift without an implant, since you already have a lot of breast tissue.  Also, you will get better symmetry.  I do not think you will have any luck with insurance on this.