Hi, you will need a breast lift/ small reduction through a radiation all anchor incision. It's your call because you will have scars and at your age you may not want them. Good luck, Dr PG
Thank you for your question and for providing a photo. After reviewing the photos you provided, it appears that you have a grade 2-3 ptosis. You would need a breast lift and also very likely need a breast lift with implants if you would like to increase the fullness in your upper poles. I would recommend scheduling a consultation with a board certified plastic surgeon who specializes in breast augmentation/breast lift.
Best of luck to you,
The only way to improve on the shape of your breast would be with a breast lift. The asymmetry you have can be addressed at the same time. Please meet with a board certified plastic surgeon in your area to find out more details. Best wishes. Dean Vistnes.
Thank you very much for sharing your concerns with us.
After having analyzed all the information and photos sended to us, i can realize that you have uneven and sagging breasts, with more pronounced fall on the right side than the left. Also you have very large areolas related breasts size/shape.
In my practice in cases like yours where the breasts are very sagging but with a good size i perform a Breast Lift - Symmetrization Surgery, removing more tissue on the right side than the left to match both breasts.
I also recommend an Areolar Reduction to get an appropiate areolar diameter, with hidden scar (a circumference line surrounding the areola).
There is no need to use implants, because you have very good breasts volume, and at your young age, your breasts are mostly made up of fibro-glandular tissue, therefore they will have very good consistency to the touch after Breast Lift.
Dr. Emmanuel Mallol Cotes.-
A mastopexy is a procedure to remove excess skin and in the end to lift the breasts.This will leave a lot of scarring so you need a consult to weigh all of your choices.
If you are happy with the size of your breasts and it is not too big to you,then your solution is to undergo Bilateral Mastopexy and at the same time correct the asymmetry.As far as the specific technique of the Mastopexy you need to have a detailed consult with an experienced Plastic Surgeon interms of the resultant scars.
I recommend a new technique called The Horndeski
Method™.The breast tissue is reshaped
creating upper pole fullness, elevated higher on the chest wall and more medial
to increase your cleavage.This
technique avoids the ugly vertical scars of the traditional technique,
maintains nipple sensation and the ability to breast feed.The weight of the breast is transferred to
the underlying muscle resulting in long term stability.
Gary Horndeski, M.D.
A vertical breast lift that leaves a scar around the nipple and vertically down to the fold would do a great job of lifting and repositioning the nipple and breast. Through those incisions the asymmetry could be corrected as well. Be aware that a pregnancy could change your results in and with time you may be seeking a revision of your lift as both you and your breasts age.
You should seek out a board certified plastic surgeon in your area and go over all the best options for you. You are still a young lady and your body will continue to go through changes over time, especially if you have children. Keep in mind the scars on your breasts with the different lift techniques. You have many options to get you the result your looking for. Good Luck!
I think a limited breast lift leaving what is referred to as a lollipop incision were there is an incision around the areola and then down vertically from there, should be enough for what you have at present. I think a periareolar lift alone will flatten the projection and not lift you much. Teh size discrepancy can be corrected at that time also by making the larger one a little smaller