24 year old, breastfed a baby for a year. Extreme sag, 32H, want breast lift. What are my options? (Photo)

Young women are
terrified of breast lifts because of the ugly vertical scars, nipple numbness
and the inability to breast feed.  For
that reason, a new technique was developed called 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
and the ability to breast feed are maintained. 
     Best Wishes,Gary Horndeski, M.D.

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant in your case for best result you can apply for position sub glandular , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Unfortunately, being scared is one of the bad things about having surgery. One of. It's actually a long long list! Cost, downtime, scars, possibility of complications etc etc. The good things list is much shorter, but for someone who 'hate hate hates' their breasts, it's in a very big font!
All of the surgeons who have answered your question agree 'you are a good candidate'...which in surgeon speak means we expect you'll get a technically good result. But you still need to decide for yourself. My advice would be to write a list of good and bad things about going ahead with surgery, and make a considered decision...and if you decide not to go ahead, or not to go ahead just now, then you need to agree to stop hating on your breasts and get on with life!  I think it's ok to decide to have surgery, and it's ok to decide to not have surgery *and* to stop worrying about your breasts. It's really not Ok and a waste of mental energy and time if you either fail to make a definite decision, or you decide against improving a fixable problem and continue to let it 'ruin' your life.
Cheers, Mark.

You appear to be an excellent candidate for a breast Lift which woul correct the droop, reshape the breasts, make them look perky again, and decrease the size of the areola which all-in-all wI'll restore your breasts to close to their pre-pregnancy appearance.The trade-off for the better shape and overall appearance are the scars, but these scars usually fade out quite well over time.Breast Lifts are very popular procedures and have an extremely high patient satisfaction rate in spite of the scars.Please seek real plastic surgeons experienced in cosmetic breast surgery and consult with more than one surgeon for their opinion.Thank you.

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a breast lift.  You may also want to consider a small reduction at the same time as the lift.   This can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  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.  
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Dear scaredlittlelamb,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 a surgery, I would suggest you to 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

Based on your pictures you seem to be a good  candidate for breast lift with a small implant for upper fullness, an in-person consultation would be best for a detailed exam and evaluation.Always see a bard certified PS.

From your photographs, it seems like you would be best served by a lollipop scar breast lift or the  anchor pattern breast lift. I would expect that you would have very nice results. If you have another baby, the results may be changed, but sometime thereafter a small procedure would probably bring you back to a very nice result.

Your best procedure is a lift or even a small reduction. However, with another child, you still might gain in size and then sag. It would be best to wait until you have had all the children you want, and then have the lift. Micro-needling with radiofrequency could help the stretch marks now.

Hello dear!!
Thanks you for your question. It is my pleasure to help you with your concerns.
You can be your own best version, and you can definitely achieve amazing results with plastic surgery in order to improve your breasts. For you, I recommend an anchor incision breast lift with areola reduction, no implants needed.
I suggest you to make an appointment with a board certified plastic surgeon for a good evaluation and to talk about your goals.
I hope this is helpful.  Good luck :)