Are my breasts saggy/ptotic?

When discussing breast shape with my patients I discuss how an implant alone or using an implant with a breast lift can alter shape. I am conservative about placing an incision on the breast unless I feel that the implant alone will not allow the patient to achieve their goals. A big part of our discussion is that the scar is permanent.

Thank ypu for submitting your question.  I am sorry ypu feel frustrated.    A breast lift will elevate a sagging breast for a nicer and rounder shape and help correct assymetries. Consult with a board certified Plastic Surgeon.  Best Wishes. 

I appreciate your question.From your photos, yes you do appear to have some ptosis.  A mastopexy (breast lift) would give your breasts a more youthful appearance by improving shape and repositioning your areolas.  A Breast Augmentation would improve the volume.  A combination of both can also be performed.



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 and restorative breast surgery.



best of luck!



Dr Schwartz

Hello,Thank you for the question and photos. It does appear that you could improve the appearance of your breasts with a lift which will improve shape and also reposition/resize your areolas. This could be done with or without breast implants.I recommend that you book a consultation with a board certified Plastic Surgeon to discuss your options.All the best

There is a technical definition regarding ptosis (this is the medical term for saggy).  This is when the nipple hangs lower than the fold under the breast. Often surgeons use this to determine if one requires a breast lift or if breast augmentation will suffice.  unfortunately, there is no breast lifting technique that does not leave scars. A good examination by a plastic surgeon will help determine what type of lifting technique may be utilized. Other concerns can be addressed at that time including cleavage and asymmetry. Good luck.

Thanks for your inquiry and pictures.  You do have some breast asymmetry and ptosis (drooping), but many women do.  If you desire lifting your breasts are increasing your symmetry, I recommend you see a board certified plastic surgeon to discuss.  

Thanks for your question and the photos. I think you would like the results of a mastopexy which is a breast lift. You don't appear to need additional volume so an implant likely is not necessary. With a mastopexy the nipple position is elevated and the areolar diameter can be reduced. The entire gland can also be reshaped to give your more central fullness. Find a Board Certified Plastic Surgeon in your area that is an ASAPS member and specializes in cosmetic breast surgery. The Smart Beauty Guide is a good resource. Best of Luck!

A good way to determine if you have breast ptosis (sagging) is to look at them from the side.  If your nipple sits below the level of your inframammary fold then you may benefit from a mastopexy or breast lift to move them to a more ideal position.  You also appear to I have some elements of a tubular breast.  This means the base of your breast is narrow and your areola are fairly large and that is why you have more ptosis at a younger age.  This being said your breasts are still well within the range of normal breasts and you have nothing that you should be embarrassed about.  It is normal for a breast to have some changes with temperature changes because the areola has smooth muscle fibers that respond to temperature and emotional changes. Also, the spacing between your breasts is very normal and there is not much that can be done safely and reliably to change that.  

Your photos show a significant degree of breast pro ptosis which could be fixed with a breast lift or mastopexy.  You have good breast volume.

Breast "sagginess" or ptosis is defined by evaluating how much of the breast and/or nipple is below the fold at the bottom of the breast (aka "pencil test"). For those patients who's breast and nipple are below the fold, a lift and augmentation can greatly improve the size and shape of the breast.