20 Years Old and Sagging? (photo)

Hi kristinaM,

     You have a certain degree of breast ptosis (droop). If you're looking to have your breast lifted so that the nipples are at a higher position, the breast no longer sits on your chest wall, and your areolas made smaller, then you would require a breast lift.  Usually woman of your age are also looking for upper pole fullness and a better cleavage.  In my opinion that could only be achieved reliably with the use of an implant.  A lift with implants, known as augmentation mastopexy, is what you would most  benefit from.

     There are a number of lifts avaiable. In my opinion, the vertical mammaplasty technique is the one that produces the best results.   In this technique, the internal structure of the breast is reshaped and sutured together.   Although some of the excess skin is removed and sutured close.  Very little tension is placed on the skin.  This allows for better scars and the long horizontal scar under the breast can be avoided.  You will only require an incision around the areola along with a vertical one.  When possible, it is important to avoid a horizontal incision. It is the horizontal incision that most often heals poorly.

     To give you upper pole fullness and a better cleavage, an implant would be required. No lift alone, regardless of which technique used or how tight it is performed can achieve upper pole fullness.  An implant placed behind the muscle will be required to achieve that look.

Good Luck,

Ary Krau MD FACS 

   If you are happy with your size, a breast lift can lift the breasts and reduce the areola size if that interests you.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

You do have ptotic (sagging) breasts, just through genetics and development. This is not unique to women after pregnancy or weight loss. 

A vertical mastopexy, which is a breast lift with a circular incision around the areola and a vertical incision from the bottom of the areola to the breast fold would be my recommendation, based solely upon the photos posted. This will reshape the breasts, raise the nipples and areolas to a better level, and reduce the areolar size. 

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.

You look like an excellent candidate for a breast lift if you are unhappy with their appearance. Good luck.  Check out the video link.

Hi Kristina, thanks for your question.  Breast ptosis (sagging) can occur over time, with pregnancy, with breast feeding or can simply be developmental.  Some women just develop with a lower positioned breast and with low nipple position. I believe that the latter is your case.

Options in this scenario is to improve nipple position, reduce areolar diameter, and elevate breast volume and can all be addressed with a vertical mastopexy,( a breast lift with a keyhole incision).  I counsel my patients regarding eventual childbearing and the trade off of breast scars in this situation.  Your upper pole is very full and you look as though you have plenty of volume, so would not consider an implant and believe that relatively simple breast lift could address your concerns.  Best of luck to you.  

I think you would do quite well with a vertical mastopexy (breast lift).  It appears that you have a good amount of fullness in the superior aspect of your breasts and a good amount of volume which makes you an excellent candidate.  With a vertical lift, you will have a "lollipop" scar- a scar that encircles your areola (which will be made smaller and round) and extends from the 6 o'clock position of your breast down to the inframammary crease.  In fair skinned individuals, this scar heals very well and fades with time.  Consult with a board certified plastic surgeon re: your options.

Yes sagging, but it do not depend on age, depend on skin. The treatment is surgery, or wait.

 

Spanish translation provided by doctor:

Si ptosicas, pero no depende de la edad, depende de la piel. El tratamiento cirugia o esperar. 

Kristina,

How a woman's breasts develop and change as they age varies widely. You happen to have developed fuller breasts and as a result have some laxity or sagging. You have a few options if you want to make a change. Having a breast lift is an option that in and of itself will make your breasts appear a little smaller but they would sit a little higher on your chest and your nipple and areolas would be smaller and more on the center part of your breast. This involves surgery and entails incisions and scare you should be very aware of. An important consideration is if you plan to have children in the future. If so you may opt to wait until after children because it is hard to predict how your breasts will respond to pregnancy(s). I recommend you write down your questions and meet with a board-certified plastic surgeon who can examine you and review all of your options.

I wish you well.

Dr. Edwards

Your breasts ride low because you have a large volume. Consider a lift with a size adjustment if you are not happy. CONSULT A BOARD CERTIFIERD PLASTIC SURGEON IN YOUR AREA.

you would make a good candidate for a mastopexy with vollume adjustment to your taste.

Talmage Raine MD FACS

drraine.com