How could I be helped? Saggy breasts with large areolas (Photo)

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

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 plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon

#RealSelf100Surgeon 
#RealSelfCORESurgeon

Thank you for you question and photos,            
The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. 
Best wishes and kind regards, 
Dr. Gary Horndeski

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a  Breast Augmentation

In my experience it's possible to help patients like you with a combination of breast lifting and areola reduction.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

I have seen a lot of patients in your situation, so please know that you are not alone! I also understand this can be super frustrating because drooping breasts are expected as you age, but not when you're young. While you may not want to wait until you are done having children, you do want to wait until the breasts are done growing. At 18 you may still be growing, so that is the first thing to know. If your breasts have stayed at the same size, and your weight is stable too, then it is reasonable to consider a breast lift. A full breast lift can reshape the breast and also reduce the size of the areola and lift the areola to a higher position as well. You would have the full "anchor" type scars, so keep in mind you would be trading incisions or scars for the improved shape and nipple/areola position. Also one thing to note- the possible risks do include a change in nipple sensation or breastfeeding ability. Also, the breasts will change with pregnancy, and with breastfeeding, in a way that may or may not benefit from additional surgery at a later date. Given many women are now having kids later in life, such as their 30s and 40s, I understand you wanting to do the procedure sooner rather than later. Just take your time and research the right doctor for you, since surgery is a life-changing decision. 

 I totally feel for you… I do see many patients just like you are young and feel they've never had the breast that they should  for their age. They see their girlfriends with a much better shape than they have. Totally frustrating. Most young patients I see in your situation  do not wait until they have children.  I think you will be helped by a lift and possibly implants. And as the other doctors have said your breasts may change after children and you may need further surgery but for now I would say go ahead and do the surgery so you can feel better now in your life !!!

It is not unusual for some young women without children to have trouble with large areolas and/or sagging breasts. This can be fixed with a breast lift which would lift and reshape your breasts as well as make your areola a normal size and position. Future kids and breast feeding may require more breast work at that time. Good luck.

Hello and thank you for your question.  You are not alone.  Many patients in your age group have had these similar issues and have gone on to have surgery with great satisfaction.  Based on your photograph, you are a
good candidate for a breast lift/reduction.  This can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and evaluate their results.  The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your situation is not as uncommon as you think. A breast lift and possibly reduction can sometimes be appropriate in women of your age. The disadvantage is that there is a small possibility of lessened ability to breast feed, and pregnancy can change breasts. 

Hello dear!!
Thanks you for your question. It is my pleasure to help you with your concerns.
You can be your own best version, and you can definitely achieve amazing results with plastic surgery in order to improve your breasts. For you, I recommend an anchor incision breast lift with areola reduction, for perkier, youthful breasts. No implants are needed. 
I suggest you to make an appointment with a board certified plastic surgeon for a good evaluation and to talk about your goals.
I hope this is helpful.  Good luck :)