I am 19 with severe sagging breasts, is this normal? What are my options? (Photos)

Please see my instagram for a patient like you. You need a mastopexy (breast lift). No implant is needed so please don't do this. I'm happy to discuss during a consultation.

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos, you would benefit from a lift in conjunction with an augmentation (if you are seeking upper pole volume).
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

You have not mentioned a breast lift, which would probably be the recommendation of most plastic surgeons immediately. The extra scars in your case may be a very acceptable alternative to your a saggy breasts. Many woman chose a small implant for upper pole fullness, but you might consider just getting the lift and consider an implant in the future if you think you really want it.

I think a breast lift can you the shape that you desire, and that can restore your confidence. Talk to your surgeon about the realistic expectations. You should be able to achieve a very natural outcome. Best of luck!

Thanks for your question! This is how some women develop and you shouldn't have to feel insecure. I would recommend a full mastopexy (and maybe even a small reduction) to get you the best result. You don't need implants if you don't like the look, but you do need to understand that you will still be hollow in the upper pole.

Thank you for your photos. You have what is known as a grade 3 ptosis where most of the breast tissue sits below the fold underneath your breast, and your nipple/areola are at the lowest part of your breast. The correct position for your nipple/areola is above the level of your breast fold. The Wise pattern used for a breast lift, 1) creates a new, elevated position for your nipple/areola, 2) is designed to remove some of the excess breast skin, but none of the breast tissue, so all your volume remains, 3) wraps all your breast tissue inside a smaller envelope of skin which creates a lifted, plumper breast with the nipple/areola at the correct level. Your areola will also be reduced to a more aesthetic size. A breast lift is typically done under generally anesthesia and takes approximately 1 1/2 to 2 hours. There are no drains. All suturing is done underneath the surface of the skin with stitches that dissolve in approximately four weeks. As this is only a skin operation and no breast tissue is removed, breast lifts have minimal discomfort and recovery is rapid. Have a detailed discussion with your plastic surgeon. Best wishes.

Firstly, I want to say that I’m sorry that you feel that way, luckily it has a solution and a lift with augmentation will definitely help you achieve the results that you are looking for reposition and put everything in its place and if you’re looking for a little bit more projection and augmentation a small implant can help you achieve that as well in addition to what you have of breast tissue. You were an excellent candidate and you have an amazing result!

You are an excellent candidate for a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. Based on your photographs, you appear to have tuberous or constricted breasts. Tuberous breasts describe a congenital breast shape variation that develops during puberty when the breast tissue’s growth is restricted by tight, fibrous tissue in the base of the breast. This leads to a distinct set of features, which can vary in severity. Tuberous breasts are characterized by a narrow breast base with an underdeveloped lower breast and a high breast fold.. The areola are often prominent or large and it's not uncommon common to have significant breast asymmetry. Correction typically requires a combination of breast implants with a lift and or fat grafting. Be sure to consult with a. plastic surgeon certified by the American Board of Plastic Surgery with experience in correction of tuberous breasts. Good luck. I hope this helps..

Hello,Thank you for sharing your photos. From what I can see, your breast shape appears consistent with what is known as a tuberous breast. Based on your pictures, there seems to be limited natural tissue to achieve the desired reshaping alone.In my professional opinion, a breast lift combined with augmentation using implants would be the most effective approach. This procedure can restore lost volume, correct sagging, and gently reduce the size of the areola, helping create a more balanced and natural appearance.My goal is to help you feel confident and comfortable in your own body, so please feel reassured that this surgery can offer you a noticeable and positive transformation.