Breast Lift or Breast Reduction Surgery for 21 Year Old?

The Ultimate Breast Lift/Reduction was developed using engineering principles to elevate and support the breast other than just skin. This new technique reshapes a woman's own tissue to form an internal bra that is then attached permanently to the chest muscles. Standard techniques rely on skin to be the only means of support for the newly formed mound. And as every woman knows-this is simply not enough! With the Ultimate Breast Lift, the forces of gravity are opposed. Breasts are lifted higher than other lifts achieving upper pole fullness without the need of an implant. An added benefit of this new technique is that the vertical scar is NOT needed. The final result is a firm, perky, natural appearing breast with minimal scars. It's worth looking into.

Best wishes,

Dr. Horndeski

Hello! Thank you for your question! The mastopexy, breast lift, procedure raises the breast, which ultimately provides a more youthful and perky breasts. This is done by removing the extra loose skin and rearranging the surrounding breast tissue in order to reshape and support the newly formed breast. At the same time, the nipple-areolar complex (NAC) is raised to the ideal position above the fold beneath your breast (the inframammary fold) as well as being placed at the most projecting portion. Oftentimes with age or following pregnancy, the NAC becomes widened and enlarged. This may be reduced in size during the breast lift procedure. A breast reduction has basically the same principles, except that the goal is to make the breast smaller. Regardless, the overall result will be to remove excess skin and tissue while also raising the nipple-areolar complex to an appropriate, aesthetic position on the breast. Ultimately giving a fuller and more youthful, yet smaller, breasts.It is common for the breast to lose its firmness and uplifted appearance over time, which is also accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity. This results in breast ptosis, or sagging of the breast, with a “deflated” appearance. Women seek the mastopexy procedure to regain the previous youthful appearance of her breasts and women report increased confidence, self-esteem, and femininity once achieving this desired shape and fullness. Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage. Hope that this helps! Best wishes!

If you want children and expect to have them soon, then I recommend you wait as pregnancy can reverse the effects of your surgery. If you're not sure, then you can consider a breast lift and reduction performed at the same time. This would give you breasts a perkier shape and reduce them in size if necessary. The reduction is optional.

A breast reduction and a breast lift are the same except with a reduction you are making the breasts smaller. Having children may affect your surgery long term but this is a decision you and your PS should make. You should be able to breast feed but no guarantee. 

Yes, your description makes me think you would likely benefit from a breast lift/reduction.  A reduction is also a lift.  It turns out that a lift is also a reduction (it reduces the lower pole of your breasts).  They are really the same operation.  In a breast "reduction" we usually just take out more breast tissue.  The optimal technique is the vertical technique.  The inverted-T technique produces an unflattering boxy shape and excessive scars, although it is still in use.  The "donut" technique that removes tissue around the areola is not very effective in treating sagging. 

 I would recommend that you look at photos of results from different surgeons before proceeding.  There is quite a bit of variation in results, less than for breast augmentation, and you will see fewer examples of breast lifts posted online than augmentations.  If you are satisfied with the results you see, that is a good sign and you may feel more confident about the surgeon you select.  I've attached the relevant section of my own website.