Follow-up question: Keep getting bigger and more saggy. Options? (photos)

From the photos you appear to have ptosis (sagging) and some asymmetry. This can be addressed with a breast lift. A small reduction can be performed on the larger breast so that it better matches the smaller breast. The next step is to schedule a consultation with a board certified plastic surgeon near you.

If you are at a stable weight then a breast lift can be performed to make your breasts perkier. A reduction can be performed at the same time to reduce their size, if you’d like. Please note that if you gain weight after your surgery, your breasts may grow in size. Subsequent weight loss after surgery can also negatively affect your results. That’s why it would be a good idea to be at your stable (and preferably ideal) weight.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.