Is it possible to obtain perky full breasts after getting a breast reduction to fix ptosis?

Thank you for the question. Much will depend on what you mean by “perky full breasts”. My best suggestion: select your plastic surgeon carefully. Do so, after viewing lots of photographs of their outcomes that you would be pleased with yourself. Then, it will be important for you communicate your goals carefully as well. Show your plastic surgery what you want to achieve and what you will not be happy with. Then, your plastic surgeon will be able to tell you whether your goals are realistic. During the communication process, do not use terms that can be misunderstood; for example, “D or DD cup” breasts may mean different things to different people. I hope this, and the attached link, helps. Best wishes.

It sounds like you could benefit from a small breast reduction which will also lift the breasts. Best of luck

It would really be helpful to have some photos. If your breasts are very deflated they may not be extremely perky after a reduction. Typically very full youthful breasts that are excessively large can be reduced to very youtfhful perky breasts (see my before and after photos on this site). You will need a consultation for further advice. 

If you are considering an insurance covered reduction, a reduction from DDD to DD or D will definitely not be covered. The heavier the breasts, the greater the tendency to sag. At your age, starting at a D is basically a guarantee that you will need more surgery later.  Nt everyone's 19 year old breasts are perky and high on the chest, particularly in larger breasted women.

You will certainly have more perkiness post a reduction, but its not uncommon for some residual drooping.  Techniques that truly lift and support the tissue rather than relying on the skin will yield the best results.  Seek out a Plastic Surgeon who routinely performs Breast Reductions.