Super Saggy Breasts - What to Do? (photo)

I'm 28, 5'2 and no children yet. I've always been large breasted but now they've gone way out of proportion. I'm open to anything that would improve my bust, whether it's a lift or a reduction or any other suggestion. I've been telling myself I should wait with this until I had children, but would it be ok to do it now instead? Also I'd like to still have large breasts, it's part of my personality and I don't want to be flat chested. But not with breasts down to my belly button anymore.

Doctor Answers 24

Breast Lift/Reduction

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Since you wish to still have large breasts you may benefit from a breast lift with a slight reduction. You will need to set up a consultation with a plastic surgeon to discuss your options and goals.

A reduction would meet your needs.

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Your pictures and medical history demonstrate significant breast enlargement.Under these circumstances, breast reduction surgery would accomplish several objectives.The procedure obviously reduces the size of the breasts while lifting them into normal position and reducing the size of the areola’s.Based on your concerns, it would seem that a breast reduction would meet all of your needs.

Breast reduction has some of the highest satisfaction rates seen in plastic surgery.The procedure alleviates many of the symptoms associated with enlarged breasts.It also can significantly improve breast aesthetics by reducing the size of the areola’s and lifting the breasts into normal position.

If you’re considering breast reduction surgery, it’s important to consult a board certified plastic surgeon with experience in this area.This plastic surgeon can formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Ultimate Breast Lift ideal for super saggy breasts

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Thank you for your question and photo.

You are the ideal candidate for the Ultimate Breast List technique. The UBL lifts and successfully reshapes the female breast to a more youthful, perky appearance without the need of breast implants for upper pole fullness. The areola is never separated and most of the lactating ducts are never disturbed, making breastfeeding possible.  A vertical scar is never needed, so scarring is minimal. Do your research. This is a great start.

Kind regards,

Dr H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

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Breast lift or breast reduction?

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A breast lift and a breast reduction have similar goals.  In both, the object is to elevate the nipple/areola on the breast while tightening the "sling" of skin below the areola, thus giving a perkier look to the breast.  In a breast reduction, there is one additional goal - to remove excess breast tissue.  Insurance companies tend to cover breast reductions which they see as a functional problem.  They do not cover breast lifts which they perceive as cosmetic.  You did not mention what cup size you are currently or what cup size you might like to be.  From your picture, it looks as thought you would benefit from a breast reduction, but whether or not enough tissue would be removed to qualify for insurance coverage is difficult to tell from your pictures.  Also, if you want to remain large-breasted then a lift with only a slight reduction (not covered by insurance) might be the answer.

Edwin C. Pound, III, MD
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Breast Lifts

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An unavoidable consequence of aging is the loss of elasticity, or tone, in skin and soft tissues. This process, which may be compounded by changes, which occur during and after pregnancy, will ultimately lead to 'drooping' of the breasts. A variety of surgical breast surgery techniques can be used for restoring the breasts to a more youthful position and shape. The goal is to both relocate the nipples to a higher position, and to restore breast projection (and to maintain projection for the long term).

Having a breast lift operation involves making a decision to trade an improved breast shape and contour for some (well-placed and concealed) surgical scars on the breast. For the Raleigh breast lift patient who is displeased that her nipples are downpointing, it may be a relatively easy decision. The surgical incisions are strategically placed to be as minimally noticeable as is possible. One component is around the areola, which is usually well concealed by the color difference between breast skin and areolar skin. The second component extends vertically from the '6 o'clock' position of the areola to the fold below the breast, and as the majority of this scar faces downward, it is usually quite acceptable.

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Large saggy breasts. What can be done

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I definitely think you are a candidate for a breast reduction and lift.  The breasts don't need to be reduced any more than you would like, but at this size you will have long term problems with back pain, neck pain and shoulder pain.  I would use an  apron flap technique which leaves you with one hidden scar under your breast and one around your areolae.

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Breastlift at 28?

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Now is absolutely a good time to have surgery, as long as your health is good and you have no imminent plans to have a baby in the very near future. A lift with an anchor scar with a small reduction would give you a very nice result, and improve the match between the breasts. Your nipple will remain attached to the underlying breast tissue so you can ultimately breastfeed if you would like. Pregnancy and breastfeeding may impact the size, shape and symmetry of the breasts, so you might want to pursue a revision in the future, which tends to use the existing scars. You should be happy with your body, so if your breast contour makes you feel self conscious, you should think about meeting with a board-certified plastic surgeon to help you safely achieve your goals!

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 57 reviews


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You will benefit significantly from a breast lift with a small reduction componet which is necessary for reshaping the breasts. You should discuss how much smaller you would like to be with your plastic surgeon during your evaluation

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon


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To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patient’s body. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure without the need for general anesthesia.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

Mastopexy with reduction

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You can have a mastopexy with a reduction.  Since you want to keep the volume of your breasts, I would recommend a minimal reduction.  YOu may need a revision after you have completed your family.

Talmage Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.