19 with saggy breasts - would a lift fix this? Would it also improve my nipple projection? (Photos)

Question

So I’m trying to figure out if I should just get a breast lift my boobs have always been saggy I don’t thin much can fix it also one breast is sagging more than the other and my nipples are the biggest insecurity the just point down. But I also plan on losing weight so should I wait till after I do that

Chul Hwan Seul, MD, PhD · Answer

With a lifting surgery, the breasts can be lifted into a more beautiful shape. Nipples that were pointing downward can also be repositioned to face forward, and the size of the areola can be reduced as well. Asymmetry can also be corrected.

If you lose a significant amount of weight, the breasts may sag even more, so it could be better to have the surgery later. However, if you are only planning to lose a few kilograms, having the surgery now should still be fine.

Semih Yildiz, MD, FEPOBRAS · Answer

In my experience, a breast lift is the procedure that best addresses nipples that point downward and lower breast asymmetry. It can raise the nipple-areola position and reshape the skin envelope, but it does not add much upper fullness unless an implant or fat grafting is also part of the plan.
Because you are planning more weight loss, I would usually wait until your weight is stable before making final lift decisions. Photos can help show the general sagging, but an in-person exam is needed to judge skin quality, nipple position, areola size, and whether nipple projection needs a separate discussion.

Leila Kasrai, MD, FRCSC · Answer

A breast lift is designed to reshape the breasts to make them rounder, perkier and fuller in the upper pole. In doing so, the nipples will also end up pointing more forward than downward for improved nipple projection. Based on your photos and mentioned goals, a breast lift would probably be recommended. However, results can be negatively affected by weight loss, so it would be a good idea to be at your stable ideal weight first before proceeding with surgery.

Robert M. Lowen, MD · Answer

Dear Trustworthy, The main procedure for you would be a breast lift. Since the left side is bigger, you would have a reduction on the left to match the size of the right breast. Your nipples would no longer be pointing down, but straight ahead. It never hurts to lose weight and makes the end result more stable if done prior to surgery. Otherwise the breasts may sag somewhat again, as the skin loosens up from weight loss.

Daniel Barrett, MD · Answer

Dear Trustworthy864263,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kadir Berat Oyur, MD · Answer

Based on your photos and description, you appear to have moderate breast ptosis (sagging), with some asymmetry between the two sides and downward-pointing nipples, which are concerns that cannot be corrected with implants alone. In your case, a breast lift (mastopexy) would be the most appropriate procedure to reposition the nipples, remove excess skin, and restore a more youthful shape; implants can be added if you also desire more volume or upper fullness. Since you are planning to lose weight, it is generally advisable to reach a stable weight first, as further weight loss can affect breast shape and potentially compromise your surgical results. A personalized consultation would help determine the best technique and whether combining a lift with augmentation is ideal for your goals.

Gary M. Horndeski, MD · Answer

I recommend a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. It appears that once you are at your goal weight, a lift will be indicated. This would achieve improvement in the position of the nipples and tightening of the skin of the breasts. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Camille Cash, MD · Answer

From the photos you appear to be a good candidate for a breast lift.  You mentioned that you are intending to lose weight.  It is best if you complete that journey prior to surgery as weight fluctuations can impact your results.  The volume asymmetry that you have can be addressed during surgery by downsizing the larger breast to better match the smaller breast.  The nipple areola complex will be raised as part of the procedure.  See a board certified plastic surgeon near you to learn more.

19 with saggy breasts - would a lift fix this? Would it also improve my nipple projection? (Photos)

Answers (9)

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