I've had medium to large perky breasts since I was 16, now at almost 19 I am noticing an inch sag already. Please help

Hi JV,I am sorry you are having problems.  It probably is the weight loss, which is a good thing overall, but can be tough on perkiness.  I would wear a good support bra, 24X7, even at night.  Get down to your fighting weight, and stay on an exercise program that includes some weight training for your pecs. Give it some time also, as you may mature more.The radiofrequency treatments to tighten breast skin have variable results.  All the best, Dr. Joe

There are no reliable nonsurgical methods to lift the breasts.  The time frame you are describing is very short.  I would be patient.  Things may change.

Sorry, but without photos, this question is almost impossible to answer appropriately.  My gut feeling is that surgery is not required.  I doubt this will continue to change as rapidly as it has with your weight loss.  I would need more information to make a more meaningful comment here.

Thank you for the question.  Providing some photos may be helpful.  There are not many non-surgical options for shaping or lifting the breasts.  I would be cautious on spending money on skin tightening treatments for the breasts since they will not work and may even thin out your breast skin and tissue more.  Depending on the shape and appearance of your breasts one option may be to liposuction some of the fat in the lower half of your breasts and inject it into the upper half of the breasts.  It is surgery but essentially without a scar.  You will also have to remember that your breasts will continue to change shape to some degree as you continue to mature.All the best,Dr. Remus Repta

The larger the breast, the more pull and stretch to the supporting tissues and skin.Many skin tightening options exist,but they won't change 1-2cms on a heavy breast.Wear support.