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What causes severe sagging of breasts at such a young age? (Photo)

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Hello thank you for helping. I am only 21 and my breasts are considered 'severe ptosis' according to the chart. My breasts came in/developed this way, the nipple naturally points completely downwards. They are droopy and heavy as appose to normal and round. They have stayed the same since puberty so I am thinking my breasts are naturally very saggy - my question is why? In my case it's not genetic. Do I have a deformity? Is this normal? What type of breast lift would work best for me? Cost?

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