What to do with my sagging boobs? (photo)

I'm 18 and my boob size differs because of the shape of my boobs they grew very quickly and are extremely heavy they hurt a lot this is affecting my work and everyday routine and such a struggle to find a bra I would not want any more added or reduced I would just like to stop them hanging of my chest!!! Is there anything I could do surgically? I'm very worried about cost to because I don't have much money being 18 and I was wondering if I could pay monthly

Doctor Answers 11

Breast lift for sagging boobs

A breast lift (mastopexy) would help to lift your breasts, correct the nipple position, make the breasts perkier, adjust areola size and improve symmetry.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck! 

Dallas Plastic Surgeon
5.0 out of 5 stars 19 reviews

Lift to Treat Sagging Breasts

A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Find the right surgeon to help you decide?

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. 
See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BBL Always insist on a board certified plastic surgeon

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Breast lift

Hello and thank you for your question. If supporting your breast with your hands helps to relieve the pain you are having then a breast reduction would be your best option. With a reduction your nipples would be relocated in a more appropriate position. This will help to improve the shape of your breasts. 

Best Wishes. 

Theodore Nyame, MD
Charlotte Physician
4.9 out of 5 stars 41 reviews

Do I need a lift or a reduction

Thank you for your question and photo.  Based on your photo, it appears that you may benefit from breast reduction mammoplasty.  The reduction may help resolve the pain and heaviness while relocating your nipple areolar complex to a more normal position.  A mastopexy is very similar to a breast reduction except minimal breast parenchyma is removed.  In regards to the cost, it varies with the practice.  I would suggest scheduling an appointment with a plastic surgeon of your choice to discuss your various options.  Make sure that you discuss your goals with your plastic surgeon before scheduling surgery.

Nicholas Jones, MD
Atlanta General Surgeon
5.0 out of 5 stars 1 review

Breast Lift

Thank you for your question and photo.  You would benefit from a Breast Lift (Mastopexy).  This surgery will lift your breasts and tighten the skin.  As for monthly payments, every company has different policies. At our office you can make monthly payments prior to surgery and once the fee is paid in full you then can schedule your surgery.  Schedule a consult with a Board Certified Plastic Surgeon to discuss your concerns and also there payment policies.  Good Luck.

Frederick G. Weniger, MD, FACS, MBA
Hilton Head Island Plastic Surgeon
4.9 out of 5 stars 33 reviews

Breast lift candidate

You require a breast lift using specific techniques that convert your pendant breast tissue into natural implants which are attached to your pectorals major muscle, giving you a naturally beautiful filling of your chest at the top.

Kenneth Schimensky, MD
Dominican Republic Plastic Surgeon
4.3 out of 5 stars 4 reviews

Breast lift or small breast reduction needed

Restoring shape and volume is what breast enhancement procedures are all about.  When there is loose skin, this must be addressed.  There are many options available with different lift procedures and a multitude of breast implant options.  Here is a basic list of the four options available:

  1. Breast lift alone (mastopexy)
  2. Breast lift combined with a small breast implant (below the muscle)
  3. Breast lift followed by a large breast implant (2 separate procedures)
  4. Breast implant alone (on top of the muscle, silicone)

Every woman is built differently and every breast is different, even on the same person.  So, each procedure is customized for every individual.  The final decision on how to proceed can be made after a history and physical examination, detailed measurements, photographs, computer simulation, trying on sizers, reviewing before and after photographs of other women similar in shape and size and talking with your surgeon.  A surgical plan will be developed that depends on:

  • Patient desires
  • The breast "footprint"
  • The expertise of the surgeon
  • Cost
  • Down time
  • Scars
  • Risks and potential complications

Please consult with a Board Certified Plastic Surgeon who performs breast enhancement procedures frequently.  This is an outpatient procedure with a quick recovery and a very high patient satisfaction rating.

Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 75 reviews


I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. I sometimes add fat grafting to the upper pole to give more cleavage if needed or wanted.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.


Best of luck!


Dr. Schwartz

Board Certified Plastic Surgeon



Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

Breast lift/reduction

Thank you for your question and photograph.

Due to you having pain and your breasts interfering with every day activities, this leads me to believe that you would benefit from a breast lift and reduction. To correct sagging, a breast lift would be necessary and to alleviate some of the weight and pain, a reduction would also be necessary. I would recommend that you schedule a consultation with a board certified plastic surgeon to have an examination of your breasts done. At that point, the surgeon can recommend whether you need a breast lift and or reduction based on your anatomy and cosmetic goals. Best of luck in your endeavors!

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 75 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.