Significant breast sagging at 21 years old. Which procedure would benefit me and will I have permanent scars? (photos)

You would do well with a breast lift, and yes, you will have permenant scars. If you are planning on having children soon, then have all the children you want and then get the lift. Pregnancy and breast feeding can undo a lift.

Congratulations on your weight loss! Based on limited photos- it appears that you would benefit from a Breast lift to make your breasts perkier and balance out the asymmetry. I suggest that you seek an experienced Board Certified PS

Hi grimestolkien,
Your breasts have ptosis--descent of the breast gland below the fold where the breast meets the chest wall. I'd suggest meeting with a board certified plastic surgeon to discuss your goals....a breast lift could potentially move your nipple vertically up, tighten the skin envelope, and internally rearrange the breast tissue to produce more central fullness.
Yes, there will be scars, and scars are permanent. You would be accepting breast scars for an improved shape and position of your breasts.
Hope this helps!
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington