My breasts are ugly and saggy. What do I do?

You would benefit from a reduction/lift with an implant.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

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.  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

Thank you for your question. I am sorry you are feeling this way. Everything you have described sounds very normal. If you are considering breast augmentation, please see a board certified plastic surgeon. 

Breast Reduction is out suggestion to solve this problem. Still if you like the volume of your breast you can have a breast lift without implants. That woul put the nipple areola complex in it´s right position and get rid of the excess tissue you have. Hope this helps, best regards!

You are an idealCandidate for a breast reduction.  You should consult with a board certified plastic surgeon .   You may even qualify to have it paid for by your insurance.

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a breast lift.  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.  FACS
Harvard-trained plastic surgeon

The best thing to do would be to have consultation with a plastic surgeon to discuss your goals, be measured, and look at before and after pictures of women similar to you. This information will be helpful in deciding if what can be done is right for you.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author 

Your breasts appear large and symmetric, and they're uniquely yours, to be appreciated and cared for.  Regarding adjustment of their size, shape, and appearance, yes, breast lift and other modifications you desire are certainly possible, but be clear in understanding your motivation.  Anyone who loves you does exactly that.  Anyone who is “turned off” by one or more of your physical characteristics is not worth your love.  The white “bumps” are likely hair follicles, sebaceous glands, Montgomery glands, or other epidermal appendages.  Nothing ugly there, just natural, and many women have them.  They would/could be removed in a breast lift procedure.

Dear KAM13,
Based on your photos, you might be a candidate for breast lift or breast reduction.



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, it is actually breast tissue that is being brought together to support the breast and hence improves longevity.



On the other hand, many women have overdevelopment of breast tissue and require reductions. Some of the questions you need to ask yourself are if you are willing to have scars from the surgery, take the risk of losing nipple sensation and other complications in addition to possible problems breast feeding if you plan to have children in the future.



It is best that you visit a board certified plastic surgeon to discuss your options further. Only after a thorough examination you will get more information and recommendations.



Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

First of all, this is normal anatomy and not uncommon. The Montgomery tubercles are the little white dots that are part of your milk gland anatomy and may be more prominent in patients with large breasts. Reduction of the breast (which includes lifting the breast, whereas a breast lift is essentially the same operation with less removal of tissue) is appropriate to lift and reshape the tissues, and also allows the surgeon to reduce the size of the areolae.Most importantly, I hope you do not have severe self-consciousness about your femininity over your anatomy, which is part of the normal spectrum of breast appearance. Any partner who would reject you just because you have large breasts is probably not the right partner, correct? However, as plastic surgeons, we know these issues can cause significant personal concern, embarrassment, or interference with healthy daily living, and you have resources here to help you. In some cases, insurance will cover breast reduction surgery, though each insurer has specific criteria for offering coverage and not all plastic surgeons participate in insurance plans.