What Grade Ptosis am I at? And what could fix my breasts? (Photo)

Based on your photos you have grade 3 ptosis. There is, however, nothing "wrong" with your breasts. They are natural, and simply on the spectrum of "normal", but more droopy or saggy that you wish. An experienced board certified plastic surgeon can advise you on your options but based on your photos alone you would more than likely be best served with an anchor-type mastopexy that can achieve the prettiest and most natural breast shape. Best of luck to you.

You are technically grade 2 ptosis meaning your nipple is below the fold but not at very bottom portion of the breast. Your best bet is a breast reduction. This procedure removes excess breast tissue and skin and places the nipple/areola back at the "normal" youthful position. As always, be sure to research who does your procedure to increase your chances of having a good outcome.

Thank you for your question. On review of photographs, it looks like grade 2 ptosis. Based on your expectations you can either go for a breast uplift if you would like to stay the same volume of breast tissue or can consider reduction if you wish to go smaller. You will need to see a plastic surgeon for examination and assessment and discuss options of managment.

Thank you for sharing your question and photographs. Based on your breast size and skin excess it appears that you would do best with either a lift, or better yet a reduction to get the best, long-lasting results. Hope this helps.

Dear Lilymae23
I am so sorry to hear about the way your feelings about your breasts are affecting your confidence and self-esteem. My initial suggestions from what I can see in your photographs would be to consider a breast reduction, which would incorporate a breast lift. You are relatively large breasted and a reduction would reduce the weight of your breasts, and therefore the tension on the skin and soft tissues, allowing the lift to stand the test of time better.
I hope this helps and I wish you all the best of luck with your onward journey.

I recommend an in person evaluation by a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy after your weight loss, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

Dear Lilymae23,
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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, thank you for your question. Based on your photos it seems like you can benefit from a full mastopexy, I recommend you to schedule a consultation with a board certified plastic surgeon.

Good evening,
You are Grade 3 for sure- and you need a full anchor type breast lift, with or without the addition of implants, once you get to the weight you honestly plan to live at long term!

I would suggest a breast reduction to lift and reduce you to a size that best fits your frame. Going smaller will also help minimize more sagging. You are Grade 4 ptosis.