Breast Ptosis on 19 Year Old Female? (photo)

Question

Im 19 years old and have noticed this since the beginning of puberty but thought it would even out, it hasnt. I am average/slim build on a petite frame at 5.3" and 107 pounds. I also have mild eye ptosis and wonder if that has anything to do with it? I would appreciate some advice as I have depression and this really isnt helping my confidence issues. I live in the middle of England. Thank you.

Gary M. Horndeski, MD · Answer

Dear Suzie,

	Although your breast ptosis is not severe, I can understand why you would be unhappy with them. Please consult with a Board Certified Plastic surgeon who is experienced in breast lifts with minimal scar techniques. In your case, the Mini Ultimate Breast Lift would be ideal. This method utilizes a circumareolar incision to lift and permanently anchor your breast tissue in place. There is NO vertical scar. Results are natural, have longevity and with less scarring. This is not a Benelli lift. The Mini UBL is much more involved and technically challenging.

	Kind regards,

	Dr. H

Jeffrey E. Schreiber, MD, FACS · Answer

Large breast such as yours may lead to early breast ptosis.  I have done breast lift surgery on patients around your age with great results.  So, you may truly benefit from breast lift surgery.

James E. Chappell, MD · Answer

Breast lifts, aka MASTOPEXIES, would fix the breast ptosis. Best to find a BCPS in your area. You should be aware that there will be scars at least around the areola and from the areola down to the fold under the breast, if not also along the fold under the breast. The trade-off for the scars is that the breasts look closer to what people consider "youthful" and "ideal". I agree with making sure the depression is well controlled preoperatively. Best of luck to you.

Ronald Schuster, MD · Answer

I understand your concerns. Breasts come in all different shapes and sizes. If you are unhappy with the position of your nipples, you should go for a consultation with a good Plastic surgeon. You will need a breast lift which is generally an easy successful procedure. Good luck.

Sugene Kim, MD, FACS · Answer

Hi, Suzie. First of all, your eyelid ptosis and breast ptosis are not related. Based on your photo, you have grade II/III ptosis. Breast lift (mastopexy) will correct your ptosis. Couple things that you need to know about breast lift: 1) Mastopexy is a safe surgery; however, with any surgery, there is a small risk for complication. 2) You will have scars, 3) If you gain/lose weight or get pregnant in the future, you may need revision mastopexy. You should visit a board-certified plastic surgeon to review all potential risks/complications/alternatives. Best wishes.

Fatema S. Alsubhi, MD · Answer

Hello

	I don't think the shape of your breast should make you unhappy or depressed, lots of women have the same ptosis if not worse, and in a age close to yours.

	From the picture seems that you have a beautiful trunk( body), and its clear how the ptotic breasts on both sides can interfere with the figure. The good news is that you have a good volume in both breasts, a certified and well trained plastic surgeon can reshape them to a better shape, with mastpexy procedure and no need For any augmentation materials.

	Although you should consider the scars can resutls from this procedures, otherwise, I think if its done properly, it will look better.

Robert L. Kraft, MD, FACS · Answer

I am sorry to hear that you are depressed and would encourage you to address the emotional issues before considering surgery.  Breast and eyelid ptosis are unrelated.  You have a developmental asymmetry which is more common than you might imagine.  As compared with many women who have posted on RealSelf, your condition is milder than most.  Keep in mind that breasts (and eyes) are typically not identical and that surgery, while improving the situation, may offer a marginal benefit.  It is also worth considering that the shape of the breasts may be altered after pregnancy and that additional correction may be required.

Steven Wallach, MD · Answer

Bresat ptosis is not related to eye ptosis. Your breast ptosis can certainly be corrected with a breast lift.

Tom J. Pousti, MD · Answer

Thank you for the question and picture.

	 At some point, you may benefit from breast lifting surgery.  I think the major question in your case would be timing of the surgery. In my opinion, you would ideally have the “depression” sorted out before you consider any type of surgery.

	Breast lifting involves some degree of tightening of the breast skin envelope.  In order to tighten the skin envelope, skin excision is necessary;  this results in the presence of scars.  Sometimes, the presence of scars is a “dealbreaker”;  patients would prefer to leave their breasts unchanged than to have scars. At other times, patients  prefer to have the improvement in breast position, shape, and (possibly) size  and are willing to accept the trade-off of scars.

	Generally speaking, the  scars associated with breast lifting our most readily accepted by patients who are in a psychosocially  stable place ( for example  happily married and having had children).

	I hope this helps.

Jourdan Gottlieb, MD · Answer

Thanks for your question and the photo. 

	First, there is no correlation of breast ptosis and eyelid ptosis. The latter is a eye muscle disorder causing the lid to not open completely.Breast ptosis has no relation to muscle issues. Often it reflects an issue with skin elasticity, with contributions from weight change, pregnancy, breast size, time and gravity, smoking, heredity.

	In your case, it looks like heredity. 

	The good news is that this can be improved by a breast lift, or mastopexy. The nipple and areola can be repostioned appropriate so that the bottom of the areola is even with or slightly above the breast fold, and any excess skin can be trimmed. 

	 

	You can find a trained plastic surgeon near you by checking the website of the British Association of Plastic, Reconstructive and Aesthetic Surgeons. 

	 

	Thanks and best wishes.

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