19 year old 5'2 female with two children. Breasts sag and cause back pain, areola points down. What are my options? (photos)

I recommend you breast uplift surgery. Your breasts will be smaller, fuller, perkier and areola reduction is also part of this surgery. However, I recommend having this surgery if you aren’t planning on getting pregnant again. During pregnancy, the weight fluctuations may cause sagging again. You are a great candidate for this surgery.

Hi, it is best to ask yourself what your cosmetic goals are first. Do you want significantly smaller breasts, lifted breasts, improved shape, and/or improved symmetry? Insurance plans will vary on their requirements for coverage in terms of breast reduction surgery and may require significant amounts of tissue removed to achieve those requirements. This sometimes is technically not possible if insufficient tissue is present (you must maintain certain amounts to preserve blood supply to the skin and nipple) or it may result in poor cosmetic results. I can't provide an accurate recommendation without seeing you in person to perform a physical exam and get a complete medical and surgical history. However, based on your images your best option may be a bilateral breast lift with a small Right side breast reduction for improved symmetry. This procedure will maintain a breast size proportional to your body, round out and lift your breasts, reduce areolar size, and improve symmetry.

Thanks for your question. From your pictures, you seem to be a good candidate for a breast lift with implants. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience with breast enhancement and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Thank you for your question.
Based on your photos, I believe you may be a great candidate for a breast reduction. This procedure would reduce and lift the breast while reducing the size of the areola leaving you with more youthful and perkier appearing breasts. This procedure should also help with your back discomfort. I recommend speaking with a board certified plastic surgeon to discuss your options and for a full evaluation.

Your only truly satisfying option is to surgically lift and reduce your breasts. Depending on your insurance, it may be covered but it will take some preauthorization. Our office does not accept insurance but we do perform this procedure safely awake under local anesthesia called the Awake Breast Lift ® 

Thanks for your question! Whether your insurance covers any or not is really dependent on your insurance. I would suggest conferring with your primary care physician or OBGYN to see what their thoughts are. Also, you can call the 800 number on the back of your insurance card. Good luck!

The technique I recommend is 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. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique is not covered by insurance.

Best Wishes,

Gary Horndeski, M.D.

Hello,
And thank you for the question.
Based on your photos, you appear to be a great candidate for a small breast reduction/breast lift surgery. During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reductionsurgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Dear Versatile439495,
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

You would do well with a small reduction or lift. However, your breasts are probably too small to be covered by insurance. You might check with your policy and see what requirements are needed.