36D curious about reduction - I find them saggy and I would like them to be more perky, what do you suggest? (photo)

You need a formal evaluation by a licensed plastic surgeon and expert in breast reductions to determine what is best for you and your goals.Breast reduction is one of my favorite surgeries as it allows me to dramatically improve a woman’s breast appearance as well as alleviate many physical symptoms of large breasts, such as back, neck and shoulder pain, bra strap grooving, and rashes under the breasts. When I perform breast reduction surgery, I generally use a superomedial pedicle to provide blood supply to the nipple while maintaining fullness in the upper and inner breast. Excess lower and outer breast tissue are removed. Breasts are often asymmetrical, so I remove more tissue from the larger breast. The final scar pattern is a circle around the areola, down the breast, and possibly under the breast, depending on the degree of skin excess.
For me, breast reduction is not a one-size-fits-all surgery. The size and shape of the breasts are customized to each patient depending on her goals and desires. Some women want a significant amount of tissue removed while others prefer to have a more limited reduction. Regardless of the amount of tissue removal, I perform the maximum safe amount of lifting and tightening for each patient.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Reductions. - Dr. Cohen

Thanks for your question!  If you feel as though your breasts are too large and too droopy, then yes, you would be candidate for a breast reduction.  Based on the volume, I don't think it would be covered by insurance meaning that you would have to pay out of pocket.  Make sure to consult with an experienced breast surgeon to achieve optimal results.  Good luck!

Your breasts are too low on the chest wall.  The technique I recommend is 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.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, M.D. 

A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust.  The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape.

Saggy breasts usually look bigger. I think you just need a lollipop breast lift with possibly so reduction if you so desire. The asymmetrical nipple position can be corrected during that procedure. You obviously need to be seen to confirm these suggestion and give you all the details.

It appears from your picture that a small reduction and breast lift will address your concerns.  One of the components of most breast reductions is a breast lift.  Schedule a consultation with a board-certified plastic surgeon to discuss your options. Best wishes.

Your breasts are not really that big.  However, if you get a breast lift they will seem smaller because they won’t hang that much.  You should arrange a consultation with a plastic surgeon in your area.

Dear Mary36D,
it is hard to tell for sure without an examination but you might be a good candidate for breast lift. 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, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello! Thank you for your question. Based on your photos, you may be a good candidate for either breast lift surgery (if you like your current size) or breast reduction surgery (if you would like to be smaller) to improve the shape, contour, and perkiness of your breasts. Both of these surgeries can be designed to minimize the scar appearance as well. Keep in mind that if you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Your breast size is in proportion to your body.If you want them slightly smaller;this could be performed through a circum-areolar incision (around the areola) It would be a pity to place scars on a relatively normal shaped breast