Sagging breasts.

Augmentation, lift or both? I am almost 22 years old and I see that my breasts hang badly. Ever since my first puberty, when I started wearing bras, they became droopier. Over the years, I lost some weight. Could this be a reason?

What is the best way to solve the problem?

There are two things women complain of when they say their breasts are sagging.

One is that the upper pole of the breast is sagging due to loss of tissue.

This possibly happened when she lost weight. Placing implants will give you back the volume you lost.

The other thing women complain of is that their nipples point to the floor. This requires a lift to correct. You need to have a consultation with a certified plastic surgeon and get a physical exam to see if it is one or both of these things.

Daniel C. Mills, II, M.D., FACS 
Laguna Beach, CA

If the nipple position is below the breast line, which is the most common form of droopy breasts, then your only alternative is breast lift. Depending on the size you want, the procedure could be breast lift with or without implants.

Samir F.Shureih, M.D.  M.D.
Baltimore, MD

The two most commonly expressed issues regarding the appealing breast by women are the size of their breasts and the position of the nipple.

A low nipple position is commonly referred to as a sagging breast. Correction usually involves a procedure called breast lift.

Anticipate a decrease in cup size of 1/2 to 1 cup with a breast lift, if required.

The size of a woman’s breast can easily be adjusted by breast augmentation. Yes, a breast augmentation and a breast lift can be performed at the same time but do seek out for a board certified surgeon, such as, members of the ASAPS.

Gary R. Culbertson, MD, FACS 
Sumter, SC

As a general principle, if the nipple is below the crease under the breast, breast lift is imperative.

If the nipple is above the crease, then typically an implant will suffice. Sometimes, a lift with implants is indicated to make the breasts not only perkier but also fuller.

You should consult a board certified plastic surgeon (member of ASAPS) to evaluate you and discuss your goals and options.

Todd Case, M.D.
Tucson, AZ

f the breasts are really "sagging", meaning that the areola/nipple complex appears to be below the breast line, the best available solution is breast lift.

A large percentage of patients will require the placement of an implant at the same time in order to obtain the optimal aesthetic appearance of the breast.

A consultation with a board certified surgeon is mandatory to determine what would be the best choice for your specific problem.

Arturo K. Guiloff, M.D., FACS  
Palm Beach Gardens, FL



Correction of sagging breasts – The best method to correct sagging breasts is breast lift for optimal results.

One can do this with or without implants however, if you want superior fullness with a breast lift, then one needs to add breast implants.

Rod J.Rohrich M.D., FACS 
Dallas, TX


Breast sagging means different things to different patients.

To some, it is loss of volume and firmness, to others it is a progressive change of the nipple-areola position, and to others it is both.

Weight loss may contribute to sagging, but there are other factors playing a key role, including genetics. The best correction depends on your anatomy, desired outcome and understanding of the pros and cons of each procedure.

If there is adequate volume and the nipple is low, a breast lift may improve the shape and position.

If there is less volume than you would like, an implant alone, depending on the position of the nipple-areola, or in combination with a breast lift could be the solution.

You should have a consultation with a plastic surgeon that is certified by the American Board of plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery.

Robert Singer, M.D., FACS 
La Jolla, CA