Why aren't my breasts perky? (Photo)

Not all breasts are created equal.  Mother nature makes people of all different shapes and sizes.  Although you are young it just happens that you have an appearence of sagging breasts (ptosis).  It will change over time, not likely to become "perky" on their own however.  Surgery can improve this with the trade-off of scars.  Even with surgery your breasts may develop recurrent ptosis.  I would recomend you start with a face to face consult with a Board Certified Plastic Surgeon that specializes in breast surgery.  After an exam they should be able to educate you to your choices.  Good luck.

Hi.. thank you for the question and photos... you do not have to worry about scares.. the would be subtle... the treatment for the Breast Ptosis is a Breast lift... i suggest with implants for the upper pole fullness. This is a normal condition developed with the size of the breast tissue. 

Some women have saggy breasts or ptosis.  To make ones breasts more perky, a breast lift might be in order with or without a small implant.  Augmentaton with a breast lift can be a very powerful procedure with long lasting results.  As an expert in breast cosmetic surgery, I have done thousands of lifts and do them every week.  Women can go back to work in 48 hours most often and take only ibuprofen (we use numbing medicine and also can use exparel.)

From your pictures, it is hard to say whether you have tuberous breasts or not since that is a very specific diagnosis.  However, what you do have are breasts that are not to your liking.  To achieve a better shape and higher nipple position, this would require a circumareolar ( donut  )lift at a minimum, as well as an impalnt to provide the shape.  You could simply do a lift, and perhaps being more aggressive with a lift ( circumvertical or lollipop) would help improve the shape as well.  However, to get a rounded look generally requires an implant long term.  I would go for a consultation with a board certified plastic surgeon and see what they ahve to say.  I hope this helps.

Dear SaggBreasts come in all shapes and sizes. There is no need to change the shape and size of your breast if you are comfortable with what you have. If you wanted a different shape or size, that can be accomplished with surgery. You can have a lift alone, or have a lift with the addition of implants to also enlarge your breasts. Look for expereinced and well trained surgeons, see more than one consult. look for certification by the American Board of Plastic Surgery.

As you have experienced, not all women have round perky breasts, even in their late teens or early 20's.  It does not appear by your photos that you have tuberous breasts.  If you are satisfied with your size, then a breast lift alone may be sufficient for you, but unfortunately, this will leave scars, though scars fade with time.  Ultimately the only way to get round breasts in the upper part is with implants, but again, if you're happy with your size, I wouldn't recommend going down that path.  Best of luck!

Thank you for your questions and photographs.  Breast development exists along a very wide spectrum, varying from time of development to size and shape.  Your breasts are quite normal, but I do see the sagging that you are referring to.  Unfortunately only surgery can change the appearance of your breasts, and as you are satisfied with your current size, a breast lift would help resupport your breast tissue higher onto your chest, will remove any excess skin, and can reposition your nipple into a more youthful position.  This will require the tradeoff of incisions for a better shape and contour, however.  See a board certified plastic surgeon for an in-person examination, they will best be able to make treatment recommendations. 

Both breast demonstrate ptosis with the left being worse than the right. He mastopexy will reshape the breast in a more youthful orientation as well as restore the areola to its correct position above the infra mammary fold. Unfortunately this requires incisions.

You have tuberous breastthey are ptotic: lowto have them round, They need to be lifted. Round implant Can improve their shape.i suggest Breast augmentation and lift, otherwise, the result won't be as good.good luck

I suppose the first thing to note is that you are a young lady with essentially "normal" breasts from the standpoint function.  As many others have said, "normal" breasts come in all sizes and shapes, and the one that really needs to be happy with your breasts is you.  Thus, I would never want you to feel as though you HAVE to EVER have anything done to your breasts.  On the other hand, if there are specific things that you would like to have changed about the appearance or tone ("feel") of the breasts, that may require some surgery.  This is why it is very important to be sure that you are truly not satisfied with the way your breasts look or feel, and then it is important to specifically analyze and identify what it is about them that you don't like so that an appropriate plan can be formulated to meet your aesthetic goals.  It will be impossible to tell you precisely what can or should be done to address your breasts without a personal consultation and exam, but based upon your description of things and your images that you have posted, I can give you a few preliminary thoughts.  It doesn't appear that you have true tuberous breast deformity, rather it's more like the lower tissues of the breast - between the nipple and the fold beneath the breast - are tighter, or more constricted, than the upper tissues.  This creates a sort of shortening of the lower dimension and an increased length of the upper part allowing the nipple to sort of "fold over" the front of the breast.  If this is coupled with a looseness, or lack of tone in the breast tissues themselves, it may make them look and feel "floppy" or "saggy."  This type of thing is most likely genetically mediated and something that runs in your family or your specific genes.  When breasts develop, it is a complex interaction between the enlarging breast glands which are responding to hormone signals at puberty and the supportive tissues in the surrounding fat and skin into which the enlarging breast gland expands.  If the lower tissues are tighter and create some constriction, the upper tissues may be the "path of least resistance" and the breast preferentially expands that way, giving breasts that look like yours.  This is not "abnormal," it's just one way that breasts can turn out.  And if this is not the way you want your breasts to look, then we would have to do something to change that.  Usually in cases like this we might perform a mild nipple positioning procedure, or a lift, with or without an implant, depending upon your specific needs and goals.  In the end, this is usually an issue of "trade-offs," that is, what is more important?  Is it the shape and position of breasts and nipples or having scars?  If it turns out that having the scars required to create the other aspects of the breasts you want is worse than what you have, then surgery probably isn't for you.  This is why it is so important to really decide what you want and then consult with an experienced plastic surgeon who can guide you in the right course of action based upon what you want and what your body and tissues will need to accomplish that.  In addition to being certified by the American Board of Plastic Surgery, your surgeon should also voluntarily participate in the Maintenance of Certification program administered by that board. This is the best way to know that your surgeon not only has the best training and experience for the procedure, but that he or she has maintained currency in the certification requirements as opposed to practicing on a "lifetime" certificate which has only been reviewed once at the beginning of his or her career. For more information on this you can visit ABplsurg.org or ABMS.org. Good luck.