My breasts grow downwards - what is the best option? (photos)

You would be best served with a  lift and slight reduction. My experience tells me that a lift alone would leave you with a lot of lower pole fullness, giving you a 'bottomed-out' look to the breast. A lift with a slight reduction would not necessarily make you that much smaller but would allow the breast shape to be better maintained long-term.Best.

A mastopexy or breast lift
operation is designed to improve the shape and position of the breast without
reducing their size. It is used for breasts which sag or droop (ptosis).
Sagging of the breasts may occur with normal development for some women, or as
part of the aging process. The
procedure can also be combined with a minor breast reduction to reduce the
breast width if desired. The surgery will create an elevated, more youthful
breast contour. Also, the procedure will create nipple and areolae of the
desired size and at the correct height.

I prefer to use a #shortscar technique,
#LollipopScar or #DonutLift” rather than the majority of surgeons in the United
States that use an anchor pattern lift which involve more significant scarring. Discuss your desired breast appearance and best options with a surgeon in consultation and you should be able to determine what will be able to provide the best final results.

    A breast lift would be appropriate to lift the breasts and the areolae.Kenneth Hughes, MDBeverly Hills, CA

From your photographs it appears that you will need a significant lift without reduction in volume to restore the shape you are looking for.  This will require significant skin removal with potentially significant scar patterns, but will give you the best long term outcome.  Don't short change yourself in the long run for a smaller procedure.

Thank you for sharing your pictures and question.  A lift combined with a slight reduction would allow you to lift the nipple but also create a nice shape to the breast with minimal change in your breast size..  There are a variety of lifting techniques so be sure to carefully look at before and after pictures as well as seek consultation with a board certified plastic surgeon.  

If you are pleased with your current breast size then a breast lift with a vertical or lollipop scar can signifcantly improve your breast shape and appearane. See a board certified plastic surgeon for a consultation and examination. Best of luckJosh Olson MD

You are a good candidate for a breast lift (mastopexy).  You do not need implants but will need to commit to some activity restrictions for a few weeks of recovery.  Assuming you are healthy, you should do quite well.

Thank you for your question and photos.  It does in fact appear that your breasts would be defined as saggy (ptotic) based on the position of your nipples.  To achieve an excellent result, I suggest that you consider a full breast lift.  You do not appear to need implants given the significant amount of volume your breasts already have.All the best,Dr. ResultsMiami, FL

Your breasts are sagging with severe loose skin. A full breast lift would be useful to reshape and elevate the nipples 

Based on the posted photos, you should have a nice improvement with a full pattern (anchor) breast lift. Be prepared to at least consider a small volume reduction when you have the opportunity to meet with a plastic surgeon in consultation. All the best.