Why Are my Breasts So Saggy? (photo)

hi, im 18 and i developed at an early age and i have somewhat large breasts ( 36 c-d ) also my left breast is way bigger than the other and ever since i was 14-15 they started to sag. ive used push up bras but they dont help. what can i do?

Doctor Answers 12

Why does breast sagging occur?

#Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. A #BreastLift may benefit one who is experiencing breast #ptosis.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Why Are my Breasts So Saggy?

Breast size and shape are determined primarily by genetics. 

Your left breast does appear to be a bit larger than the right. A modest breast reduction on the left, accompanied by a breast lift on the right should improve the situation to your liking. It will be best to discuss this in person with a plastic surgeon. 

RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Breast reduction is an excellent operation

There are pros and cons to having large breasts as I am sure you realize. If you would prefer to be smaller and especially if you are having symptoms like backache, you may like a breast reduction very much. This will also allow correction of the assymetry, and may even be covered by insurance plans.

If you want to stay large, a breast lift with some reduction on the left would be the best choice.


Rodney A. Green, MD
Cleveland Plastic Surgeon
4.8 out of 5 stars 24 reviews

Saggy at 18

Hi  kriss_karnage,

     A combination of our genetics and environmental factors pretty much determine what we look like. Regardless of the etiology, however, what can you do about it is a more useful question at this point. Wearing a bra has never been shown to have prevented sagging breasts, so I would not fret over it.

     You have somewhat large breasts with your left breast a bit larger.  Your nipples are positioned somewhat low on your breasts giving them a downward tilt.  And, although you have overall fullness, you lack that in the upper pole.

     The good news is that plastic surgery is often available  when our genetics and environmental factors failed us.  I believe the treatment of choice for you is to undergo a breast lift procedure, the amount of breast volume to be removed to be determined by you and your plastic surgeon.  In addition, to achieve long lasting upper pole fullness, an implant should be placed behind the muscle as well.  I believe that is the only way to produce upper pole fullness with longevity.

     As to the lift that would work best for you, I believe the vertical mammaplasty technique which has a lollipop type of incision without the horizontal is ideal.

     I would also urge you  to perform this procedure when you are at a stable weight.  Any weight fluctuations, either gains or losses, will detract from the stability of your results.

Good luck,

Ary Krau MD FACS


Ary Krau, MD, FACS
Miami Plastic Surgeon
4.8 out of 5 stars 319 reviews

Cosmetic Surgery is an Art and a Science

Your beasts are low because you have a large amount of breast tissue. A large support bra will help your issues. If you seek surgical correction, consult a board certified plastic surgeon in your area

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast reduction at 18

Based on your pictures and your symptoms you would be a good candidate for a breast reduction.    You should understand that if you have a reduction now your breasts will continue to change over your lifetime.

Talmage Raine MD FACS


Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Breast Lift

    Your breasts do sag, but they are not unattractive breasts.  There is a huge range of variability in terms of breast size, shape, and form.  If you did want to give the breasts are more lifted look, that is certainly possible.  Find a plastic surgeon who performs hundreds of breast lifts each year.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Why Are my Breasts So Saggy?

Partial genetic predisposition, and weight gain are the major reasons. Best to discuss in person with GYN or PS. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Breasts are too large at 18 years old

You are a perfect candidate for a breast reduction.  The technique is different for young women because the skin is too elastic.  Look for a board-certified plastic surgeon who can offer you a vertical breast reduction or lollipop scar.  This would save you the horizontal scar.  Good luck,

Jeffrey Ditesheim, MD, FACS
Charlotte Plastic Surgeon
4.7 out of 5 stars 53 reviews

Sagging breasts in 18 year old

Young women develop differently and to different sizes. Many young women experience mismatch and sagging of the breasts. If you are stable in size and you are not happy with your breast appearance, I would recommend you seek consultation with a board-certified plastic surgeon for a breast lift on the right and a reduction on the left to match. You can go to plasticsurgery.org to find a surgeon near you.

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 50 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.