I'm 19, my breasts sag and my nipple faces more downward. I also have keloid skin. What are my options? (Photo)

Thank you for your question.  It is difficult to give a precise answer without a physical exam or even a photo of the actual patient. If your nipple areola complex falls below the inframmary crease ( the fold under your breast), chances are you would need a breast lift.  I am not familiar with any type of laser treatment that would improve your situation.  Schedule a consultation with a board certified plastic surgeon who is a member of the Aesthetic Society and discuss your options.Best of luck,

The correct operation to fix your sagging and nipple position would be best determined in person based on measurements and what you consider to be a successful outcome.

The
best technique for you is called The Ultimate Breast Lift™.The breast tissue is reshaped creating upper
pole fullness, elevated higher on the chest wall and more medial to increase
your cleavage.This technique avoids the
ugly vertical scars of the traditional technique, maintains nipple sensation
and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

A vertical breast lift would be a reasonable option
just based upon those photos. Find an expert in breast surgery who has
great reviews and great before and after photos.Kenneth Hughes, MDLos Angeles, CA

Hi Lisa,The woman in the photo would need a breast lift along with her augmentation.  So I would guess, based on what you said, that you would need the same.  Be sure to see only a board certified
plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a
member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member
of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year. Ask to see their before and after
photos if you didn’t see any on their website. If they are experienced,
they should have several 100 breast implant patients for you to view. I
would also recommend that your doctor offer you the chance to talk to past
patients who would be happy to discuss their experience with you. You
need to feel comfortable, so make sure the environment is safe as in an
accredited surgery center. Also, ask a prospective surgeon if he or she has
ever published journal articles in professional peer-reviewed journals, which
they can provide you.All the best,
“Dr. Joe”

If you have sagging of your breast than the right treatment would be at least a breast lift. Sometimes a breast augmentation it would be necessary to give volume. Your main issue is keloid formation. If you truly have to keloid formation in my opinion I would not recommend surgery because the scars are long and every where there is an incision there is the possibility of keloid formation

From what you tell us, you are a candidate for a Goes circumareolar lift (scars only around the areola) with internal brassiere or for a Lejour Lift (Lollipop incision). The determining factor for which one is right for you will be the distance from the sternal notch (top of breast bone) to the nipple. If you are less than 25cm's, then you can get a circumareolar lift. For more than 25 cm's, you can get a Lejour.If you would like more information, please read my book, "Cosmetic Breast Surgery - a complete guide from A to double D".

NONE!!!! Only incisions can lift. Plus I doubt you are a keloid former. Best to seek IN PERSON opinions......

Unfortunately, the only option to lift a sagging breast is with a mastopexy procedure (breast lift).  The degree or extent of scars will be dictated by the level of severity of your sagging.  I suggest you consult with a board certified plastic surgeon to evaluate your degree of ptosis (droop) and provide recommendations on the type of breast lift required to give you your desired result.  Hope this helps!

For sagging breasts the only option that will actually work and give you the results you want is a breast lift. It's hard to make a real recommendation over the internet without a real photo, talk to a local board certified plastic surgeon to get an in-person evaluation and opinion.