How bad is the sag of my breasts? (Photo)

Hello and thank you for your question. Based on the pictures you've provided, you have a lack of upper pole fullness which is giving the appearance that the breasts are "drooping" or "sagging" more than they actually are. I would say you are right at the border between no ptosis (drooping) and grade 1 ptosis (mild drooping). If you'd like to address this, and desire more volume, you would benefit from a breast augmentation (implant placement) and depending on the position of your nipples after implant placement, possible also a small lift. I hope this helps!
Best,
Dr. Donald Groves
Plastic Surgeon

You have upper pole volume loss and assymetry problem, you don't need obvious sagging that needs to be lifting. So the solutions are to use silicone implant to give volume or fat grafting to enhance.If you expect to make it more than one cup bigger, implants are better option, ıf you only wish to have upper pole fullness only and to change the proportions, fat grafting is the option.
Fat grafting means take out the fat from a part of body ı mean tummy or thigh and inject it on the subcutaneous plane and under the muscle to give fullness.It does not cause any scar.Different amount of fat can be used to address the volume differences.

You have mild ptosis of the breast. There is some breast tissue and nipple present below the fold of the breast, but it is minor in degree. Depending on what you desire, a small saline implant with a vertical lift can address both the upper pole fullness and tighten up the breast. I hope this helps, thank you!

The concern isn't solely related to the upper breast shape; there's also a degree of sagging present. The evaluation of sagging typically involves assessing the alignment between the nipple position and the inframammary fold. While it's challenging to make a precise judgment based solely on photos, the sagging appears to fall within the range of what can be considered minimal to moderate.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Based on limited photos- it appears that you have pseudo-ptosis which can be treated with mastopexy/lift+ possible smaller implants ( if you desire volume increase). You can also have just Augmentation with implants but it will not lift the breasts like lift would do-and the breasts will continue to sag overtime. I suggest that you seek an experienced Board Certified PS

Thank you for the question and photos provided. It does appear that you have some tissue falling below the inframammary fold but your anatomy is still in good shape with nipple areolar complexes at nearly the maximally projecting point on the breast. If you are wanting more breast volume and added upper pole fullness, you could consider an implant alone to fill out your breast envelope and give you an appearance of a slightly higher, fuller breast.

It appears from your photographs, that you have grade I ptosis. The lift 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.

Dear Newme1806,
based on your photos, it looks like you have moderate sagging so you will probably benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

When the nipple is at or just below the IMF it can be considered moderate. A mastopexy can lift the breasts and reduce the areolas. More volume with an implant can also be considered.