21, low, saggy boobs. Is a breast lift is the best option for me? (Photos)

Question

hi! Im 21y and ive got boobs very late in life, at like 18/19. However they a very low set and kinda saggy, not firm at all. Its not possible for me to not wear a bra, because its ugly and low and it move too much. However, chirgurie are so expensive so im wondering if breast lift is the only option for me, i want something that would be cheaper but could make a little bit of change at least. Thank you!

Jeffrey M. Darrow, MD · Answer

Thank you for your photos.  Your breasts have excellent shape and contour and your nippe/areola are well above the fold under your breast. You have no evidence of any ptosis, is hanging of the breasts. Therefore, a breast lift is not indicated and would place incisions on you, which would be permanent and would be of no benefit.  The reason that you feel your breasts are set low is due to the fact that embryological your breasts can develop anywhere from your armpit to your groin. Obviously, most breasts develop on the chest, but, some peoples breasts develop slightly lower than other people breasts.  This is simply a normal variant of development.  I am not aware of any proven, acceptable method to move the breast further up the chest.  The level of the breasts are determined by where the fold underneath the breast develops.  The firmness of your breast depends upon the percentage of fat versus glandular tissue in your breasts.  More glandular tissue results in a more firm breast and more fat results in a softer breast.  This is also genetically determined, and I am unaware of any way to change that. Best wishes.

Laura Roider, MD · Answer

I understand your concerns and encourage you to have a consultation to fully understand your surgical options.Based on your photos, you seem to have some mild pseudoptosis (where the breast tissue falls below the breast crease/IMF but the nipple complex remains above the breast crease). Due to this and my understanding of your goals, I would recommend a Breast Augmentation. This will allow you to improve the shape of your breast, giving you more upper pole fullness and address the pseudoptosis.

Harry T. Haramis, MD, FACS · Answer

In my experience, many similar patients achieve more breast fullness with implants alone.

Since you are very borderline, I would.not recommend a breast lifft with extra scars, etc. Dual plane implants will simulate higher position in bra.

Implants are generally less costly than a breast lift.

Patients who don’t want implants may be candidates for fat transfer to the breasts. This involves liposuction of areas to obtain the fat.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm this as well as discuss your options and expectations.

Mehmet Ozdemir, MD · Answer

Hi and thank you for your question.
For breasts that are low and sagging, a combination of a lift and implants is typically recommended to improve position, shape, and fullness. Non-surgical options will not provide a significant lifting effect.
A consultation is needed to confirm the most appropriate approach for you.
Hope this helps!

Kadir Berat Oyur, MD · Answer

Hi and thank you for your question.
If your breasts are low and sagging, a breast lift with implants would be the best option to reposition, reshape, and add volume. Non-surgical options cannot achieve this level of improvement.
A consultation is necessary to confirm the best approach for you.
Hope this helps!

Guray Yesiladali, MD, FEBOPRAS · Answer

Hello, at 21 it is very natural to question both the necessity and the cost of surgery.
The clearest anatomical indication for a breast lift is when the nipple sits below the breast fold. In your case, since it is positioned just above that level, this falls into a borderline or mild category rather than true ptosis.
When the nipple remains above the fold, a lift becomes more of an aesthetic preference rather than a medical necessity. There is unfortunately no non surgical method that can elevate breast tissue. However, because your anatomy does not show significant sagging, surgery should not be approached urgently.
Pursuing low cost planned alternatives simply due to budget concerns may risk altering otherwise healthy tissue. If budget is your primary limitation, some patients explore countries where surgical costs are more favorable, such as Turkey, while still selecting experienced surgeons. That said, this is not only a financial decision. It directly concerns your body integrity and long term anatomy.
Wishing you confidence and calm as you decide what is genuinely right for you.
Güler Güray Yeşiladalı, MD

21, low, saggy boobs. Is a breast lift is the best option for me? (Photos)

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