Follow-up: 18-year-old, size DD, saggy and wide apart breasts, what's the best surgery in my case? (Photos)

Hello, thank you for your question. It seems like you can benefit from a breast reduction, when breasts are reduced they are “automatically” lifted as well. I recommend you to schedule an email, Skype or in-person consultation with a board certified plastic surgeon. 

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 (in 95%) and the ability to breast feed are maintained.  Best Wishes,Gary Horndeski, M.D.