Saggy breasts:Augmentation, breast lift or both?

I am almost 22 years old and I have noticed that my breasts sag awfully. Ever since my first puberty, when I started wearing bras, they became saggier. Over the years, I have lost some weight. Could this be a factor? What is the best solution to this problem?

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

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

This is probably the result of weight loss. An implant would certainly give you back the lost firmness.

The second complaint among women with saggy breasts is that their nipples point ot the floor, and this required a breast lift to correct. You should consult a board certified plastic surgeon and undergo a physical examination. In this way, the surgeon will evaluate which procedure is the applicable one.

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

If the position of the nipple is below the breast line – the most common form of sagging breasts – then, the only alternative you have is breast lift.
Depending on the desired size, it could be a breast lift procedure with or without breast implants.

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

The two concerns mostly expressed by women regarding breast attractiveness is the size of the breast and the position of the nipple.
A lower positioned nipple is usually reported as breast sagging. The correction surgery is usually a procedure called breast lift.

Typically, the size is reduced by 1/2 to 1 cup with a breast lift, if deemed necessary.

The female breast size can be easily adjusted with a breast augmentation procedure. Yes, a breast augmentation and a breast lift can be done at the same time, yet you should ask it from a specialized plastic surgeon, such as an ASAPS member.

Gary R. Culbertson, MD, FACS 
Sumter, SC

A simplified rule is that is the nipple is under the breast line, a breast lift is needed. If the nipple is above the crease, then an implant would typically suffice. On certain occasions, a breast lift with implants is recommended not only to make breasts point upwards and fuller. You should consult a board certified plastic surgeon, a member of
ASAPS, who will assess you and discuss your goals and choices with you.

Todd Case, M.D.
Tucson, AZ

If your breast is really ‘hanging’, which means that the nipple seems to be below the breast line, the best available solution is a breast lift.

A great percentage of patients will also go for implants in order to obtain the optimum aesthetics from the breast surgery.

A consultation with a board certified plastic surgeon is mandatory to determine the best option for your individualized problem.

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



Correcting saggy breasts – the best technique for the correction of sagging breasts is breast lift, as it delivers the best results.

The procedure can be performed with or without implants. However, if you want your breasts to look fuller after a breast lift, you should combine it with breast implants.

Rod J.Rohrich M.D., FACS 
Dallas, TX


Loose breasts mean different things to different people.

To some, it pertains to the loss of volume and firmness; others refer to a significant change in the position of the nipple and others think it is a combination.
Weight loss can result in sagging, but there are also other contributing factors, such as genes.

The applicable correction surgery depends on your anatomy, the desired outcome and the pros and cons each technique entails. If there is sufficient breast volume and the nipple is in a lower position, a breast lift can correct its shape and position.

If there is less volume than wanted, an implant alone, depending on the position of the nipple, or combined with a breast lift could be the optimum solution.
You should definitely consult a plastic surgeon that is certified by the American Society of Plastic Surgeons (ASPS) and is a member of the American Society of Aesthetic Plastic Surgery (ASAPS).

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




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