Q: Dr. Eppley, I’m a nineteen year old female and since I was 16 I have had saggy breasts. When I was 16 I was a bit overweight. I weighed 180 at 5.5″. By the time I was 18 I had gotten my weight down to 120. I did this by working out and eating healthier. My breast still looked the same however. They are so saggy for my age. I have a small chest too. I’m a 34 B so I’m not sure if I have a medical condition or just bad luck but I want to know if my best option is a breast lift and or going up to a size C with implants.
A: While I have not seen pictures of your breasts, I can make several general statements. Whatever degree of breast shape/sagging you have, it is due to your genetics and the natural way that they developed. Their current shape is not due to a medical condition. While the concept of sagging is a relative one, when someone who is very young like you describes that they have saggy breasts they most likely really do have ptosis (sagging), it is just a matter of the degree of it. But when you combine the issue of a 60 lb weight loss, one can be assured that this is real breast sagging. (low nipple position relative to the lower breast fold) Thus some form of a breast lift is probably needed. Whether an implant is done at the same time to increase breast size as well is an option open for further discussion.
Dr. Barry Eppley