I'm 28. My breasts have always been wide set and saggy. What's the solution? (Photo)

Question

I am starting to lose weight. I've already lost 30lbs, but I've always had wide set, saggy breasts. I want them closer together for nicer cleavage once I get to my goal weight. And I also would like them to be perky. I really don't want to get implants. I am currently a 40DDD. I would really like smaller areolas as well.

Jaime S. Schwartz, MD, FACS · Answer

Thank you for your question and photo!  A breast lift would great option for you to achieve your goals.  The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!
Dr Schwartz

Jaime Perez, MD · Answer

It sounds like you may be a good candidate for a breast lift. This procedure would elevate the position of your breasts, giving them a perkier, more youthful appearance. Your areolas could be reduced during this operation as well. I suggest consulting a board certified plastic surgeon in your area to discuss your wishes and options. Best regards.Jaime Perez, MDPlastic Surgery Center of Tampa

Josh Olson, MD · Answer

Good work with the weight loss. A breast reduction will likely be your best option but this may change depending on how much weight you lose. Consult with a surgeon certified by the American Board of Plastic Surgery for more information. Best of luck

Steve Laverson, MD, FACS · Answer

You're doing the hard, but essential part: Losing weight.  Breast lift (mastopexy) and/or breast lift-reduction (reduction mammaplasty), if well done, will lift breasts higher on chest, improve to rounded shape, diminish areola size, preserve sensation, and all with minimally or invisible scars.  You can get the cleavage you want and more perky breasts, and will not need implants because of your naturally large breast volume.

William Bruno, MD · Answer

Once you lose all the weight you are planning to lose, then you will be ready for your breast lift. You may require either a vertical breast lift (lollipop pattern) or a wise pattern (anchor incision) depending on how much excess skin you have after you reach your goal weight. Consult with a few plastic surgeons for an exam in person to gather more information.Best wishes,Dr.Bruno

Allen M. Doezie, MD · Answer

You definitely should not have implants.  Wait until you have completely finished losing weight because your breasts may continue to change in volume.  Most certainly you will need a breast lift, but probably will still need a reduction.  Your areolas will definitely be smaller after your surgery!

Jourdan Gottlieb, MD · Answer

A breast lift or reduction will be in order when the time is right. Although a surgeon may not be able to bring the breasts closer together, the sagging and size makes them further apart than they would be when smaller (by weight loss or reduction) and higher up on the chest. Getting to your goal weight first is sensible.  Were you to have surgery now and then later lose a lot of weight, you would likely be facing a repeat breast surgery, perhaps more complex than the first.COngratulations on your weight loss so far, keep it up!

Khashayar Mohebali, MD, FACS · Answer

First of all, congratulations on your recent weight loss.You are a great candidate for a breast lift/mastopexy.  It would get your closer to what you desire.  A higher sitting breast, more cleavage, and smaller areola.

Lisa Cassileth, MD, FACS · Answer

As with most women that complain "they have always been saggy", you've got a tuberous breast- all the breast tissue is central and there is little on the edges. This makes the breast project and sag, but its not round. You need a breast lift (lollipop scar), I also fat graft all around the edges of the breast to make it round; especially up top to make the breast "start higher" and next to the sternum to make the cleavage round. Make sure your PS can address the lack of tissue on the edges or your sagging may recur.

David Finkle, MD · Answer

A breast lift is a procedure that removes excess skin of the breast and moves the nipple areolar complex (NAC) upward to a new position on the chest wall.  It does not remove the NAC, so theoretically all feeling, sensation, blood supply and the ability to breast feed is maintained.  The operation will make the breast more "perky", reduce the size of the areola (the color around the nipple) if needed, and make the breasts more symmetrical in size and shape.  All women's breasts are shaped differently, therefore there are many different types of breast lift procedures available to choose from:Concentric or donut mastopexy (incision only around the NAC)Vertical incision, balloon or lollipop mastopexy (incision around the NAC and and a vertical incision running straight down from the 6:00 position of the areola)Anchor incision mastopexy (incision around the NAC, vertical incision and a horizontal incision all the way under the breast in the crease)Any of the above incision choices combined with a breast implant (saline or silicone, above or below the muscle)Breast implant alone, above the muscle, preferably silicone, used to fill up loose skin only, no skin is removedThe choice will depend on the consultation performed with a Board Certified Plastic Surgeon and the wishes and desires of the patient.  Some people are more tolerant of scars than others.  Some patients are looking for volume only and some are looking for shape only.  Detailed measurements need to be made, photographs taken and evaluation of hundreds of before and after pictures of other women who have had similar type procedures and who's body build is similar.A breast lift procedure can be performed as an outpatient under a general or sedation type anesthetic.  The blood loss is minimal and the recovery time is about one week.  It is not a particularly painful procedure, however, when and implant is added, the recovery and post operative pain is more substantial.  The price will vary from city to city and which type of lift, but typical prices will range between $4,900 and $10,000 american dollars.A final decision should be based on the feedback from your in person consultation.  Based on the information presented I would recommend the following :An anchor mastopexyGood Luck!

I'm 28. My breasts have always been wide set and saggy. What's the solution? (Photo)

Answers (14)

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