Are my breasts saggy or deflated and ugly? What can I do?

Question

I am embarrassed to get naked around my fiancé though he says he loves me regardless. I'm 23 I've lost 40lbs and obviously have lost from my breasts. I feel like my breasts are both small and deflated and empty? I'm not sure if they're just ptotic or empty and deflated? I'd like to know what grade of ptosis if ptotic and also if my breasts are small or average sized and also if they are ugly or not as I don't like showing them to my fiancé. I would also like to know what options I have?

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question. Unfortunately,
without a photograph, it is impossible to provide any specific information.
However, it is important to know that after weight loss, breast tissue may
become lax and sag. Depending on your individual situation and needs, there are
several options. A breast augmentation will use implants to improve the size
and volume of your breasts. If there is a large amount of sagging, a breast
lift may be needed to restore a perky chest. I recommend scheduling an in-person
examination with a board certified plastic surgeon, experienced in breast
augmentation procedures. He/she can examine your breast tissue and explain all
of your options.

John L. Burns Jr., MD · Answer

A breast lift with restore the shape and perkiness to your breasts.  If you want more volume then an augmentation with the lift will be necessary.

Daniel Barrett, MD · Answer

Hi Thisismee, 
  
Thank you for the photos. I understand that you want to improve the appearance of your breast. You can definitely benefit from getting breast augmentation surgery.
  
Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. 
  
Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. Also, price range for breast lift is around 10k to 15k depending on whether you need a lollipop or a donut mastopexy.
  
Another important consideration to make would be the breast implant type and sizing selection. In fact, this is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient.  
  
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements. 
  
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match. 
  
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
  
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

William Andrade, MD · Answer

Hello, if your nipples are located at the lowest part of the breasts, this is called grade III ptosis.  In order to learn about your options such as breast lift or lift plus implants surgery, I'd recommend arranging a consultation with an experienced plastic surgeon.  They will be able to tell you about the advantages and disadvantages of the different procedures.

Ravi Somayazula, DO · Answer

Thank you for your question. The first step is to be seen and examined by a Board Certified Plastic Surgeon. He or she will then discuss your concerns, exam you to determine the ptosis grade and then discuss your options with respect to the type of lift. You will also benefit from an implant to restore the deflation. These should all be discussed with you during your consultation.
Best wishes,
Dr. Ravi Somayazula

Are my breasts saggy or deflated and ugly? What can I do?

Answers (9)

Answer: Concerned about breast shape

Answer: Concerned about breast shape

Answer: See a Board Certified Plastic Surgeon

Answer: See a Board Certified Plastic Surgeon

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Are my breasts saggy or deflated and ugly? What can I do?

Answers (9)

Answer: Concerned about breast shape

Answer: Concerned about breast shape

Answer: See a Board Certified Plastic Surgeon

Answer: See a Board Certified Plastic Surgeon

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.