21 years old- sagging breasts. What do you recommend? (Photos)

Your photos show true ptosis, or sagging. This cannot be corrrected by adding volume alone. Your options are to have a mastopexy, or lift , alone, or have implants placed at the same time if you wish to be larger. I would not recommend doing anything if you are considering getting pregnant in the near future. Make an appointment with a good plastic surgeon to discuss your options.

Based on your photos alone, it does appear that you would need a breast lift in order to improve the sagging. If you have any asymmetries, a breast lift can help improve that as well. While a breast lift involves some additional incisions, scars usually fades very well over time. If you desire additional volume, a breast augmentation can be performed during the same surgery. We have a 3D imaging system called the Vectra that can simulate what you can expect your results to look like post surgery with your selected implants and the lift. I highly recommend that you schedule a consultation with a board certified plastic surgeon to determine what procedure would be best for giving you your desired result and discuss these procedures in more detail.

Thank you for your question and helpful photos. There's another option called The Horndeski Method/The Bellesoma Method which reshapes and repositions your breasts high on the chest wall to create cleavage that resembles implants. With this method, care is taken to preserve nipple sensitivity, ability to breast-feed and breast tissue. The excess skin from the sides in pulled in with the lift.  The attached video is of a patient that wanted her breasts back to their original youthful position without implants and without a vertical incision.  You are welcome to visit my gallery to find women with similar dimensions as yours to see real results. This is a proprietary technique and only available by physicians trained in this method. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Thank you for your question. You would definitely benefit from a breast lift, which reduces the skin envelope while reshaping the breast tissue into a more youthful and perky shape.  Sometimes implants can also be added for more volume if thats what you desire, but this increases the complexity of the operation and recovery and so must be done by someone with a lot of experience. The key is working with an expert, board certified plastic surgeon.

Dear J,   Thanks for submitting your picture and sorry for your genetic condition that caused your breasts to appear aging prematurely. From observing your picture, you appear to be full C cup size with severe ptosis.     Unfortunately, the only way to give you beautiful and youthful looking breasts is a full lift (key hole). The scars associated with that procedure are a good trade off for the dramatic improvement in your appearance, which will improve your self esteem, your confidence and your sense of femininity.   You have to realize that not all results are the same, because experience, skills and aesthetic eye are critical for good outcome. So do your due diligence carefully and choose your surgeon wisely, to avoid bad result and possible need for corrective surgery.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                                 Best of luck,                                                          Dr Widder

A vertical mastopexy will correct the ptosis and lift the breasts/areolas for a nicer shape.  You would still have a natural breast shape.  

You appear to be a good candidate for a breast lift in order to lift your breasts and make them perky. Be sure to seek an experienced Board Certified PS for in person exam

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a breast 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.  The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

you simply need a lift to reposition and reshape the breasts into a more youthful appearance. Go see 2-3 PS in consultation to discuss your surgical options. 

You have a mature nice shaped breasts and do not be self conscious. Many woman would love to look like you. If you want smaller breasts then a lift reduction will be a great operation for you. It does create scars which fade often but the shape and size reduction is likely to make you happy. Breast lift reduction procedures have one of the highest satisfaction rates in plastic surgery. Good Luck!