20 Years Old and Sagging? (photo)

Question

I'm just 20 and already I feel like my breasts have a lot of sag. I have not lost weight recently but they just grew like this. What do you think of them? What procedures would you recommend?

Kenneth Hughes, MD · Answer

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

Ary Krau, MD, FACS · Answer

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

Jourdan Gottlieb, MD · Answer

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.

Steven Wallach, MD · Answer

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

Ronald A. Lohner, MD · Answer

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.

20 Years Old and Sagging? (photo)

Answers (10)

Answer: Sagging breasts

Answer: Sagging breasts

Answer: Ptosis at a Young Age

Answer: Ptosis at a Young Age

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Everything you need to know about Breast Lift

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20 Years Old and Sagging? (photo)

Answers (10)

Answer: Sagging breasts

Answer: Sagging breasts

Answer: Ptosis at a Young Age

Answer: Ptosis at a Young Age

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.