24 and breasts have been saggy for most of my post puberty life. Anything other than a breast lift recommended? (photos)

Hi, thank you for sharing your question. Based on your photos, you will definitely need a breast lift. Implants alone will not help solve the downward position of your nipples. I recommend you consult with a board certified plastic surgeon to get the best options and results.

Weight fluctuations can certainly impact the shape and size of the breasts, however sagging is natural, as long as it’s not causing you any discomfort or concern. If you are concerned, what issues would you like to address?

Your fear is unwarranted, and your results would yield a beautiful, attractive result with the likelihood of inconspicuous scars. 95+% of women find there breasts attractive after a lift, which means so would your partner. Go to someone that's experienced and who produces results you like.

Hi. You are a good candidate to have a breast lift. Your breasts will look more youthful and perky, but you will have scars on your breasts. Go for a consultation with a board certified plastic surgeon so he/she can give you a good idea of what to expect. Best of luck!

Dear Grace189,
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 surgery, I would suggest you 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

Your breasts are very low on the chest wall. The technique I recommend is a lift using 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.

Judging by your photos the only procedure that would work here would be a breast lift. It would have to be a full lift (anchor incisions). You can opt to have implants as well if you want a fuller look with more upper pole or just a lift. An implant alone without a lift would not provide an aesthetically pleasing result. There are some minimally invasive devices out there that can tighten the skin somewhat, but again it would not be a good option.

Hope that helps.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination to discuss your goals and assess your tissue quality, but most likely a reduction to improve breast shape and size, while repositioning your nipple and areola into a more youthful position would be a good initial step. Hope this helps.

From the submitted photos a lift would be recommended for you. This would downsize the areola and raise the position of the nipple. You could consider adding an implant if you are wanting more volume. You would not have a good result with augmentation alone. See a board certified plastic surgeon near you for a consultation to learn more.

I would suggest a breast lift or even small reduction to raise the breasts and reshape. However, is you plan to have children, you might wait until you have had all the children you want, or risk having to repeat the lift.