What is The Best Type Of Lift For My Saggy Breasts?

Q:  Dr. Eppley, I am 22 years old and my breasts are more saggy than I would like. I have not even had kids yet and they sag. I have a good breast size but much of it just hangs low. I have read about the crescent and Benelli types of breast lifts and was wondering if these would work for me. I have attached a front and side view of my breasts so you can see what they look like.

A: The decision to undergo a breast lift is an aesthetic choice between breast sagging and better shaped breasts that have scars. For some patients with very saggy breasts this can be a relatively easy choice. For other patients with more minimal sagging, such as yourself, that choice is a more difficult one. You have asked about the Benelli (donut) and the crescent lifts because they have the least amount of scarring of all the breast lifts. In reality, they are not breast lifts at all but really nipple-areolar repositioning techniques. They do nothing for lifting or reshaping the breast mound. They work best in cases where an implant is needed to restore breast volume and a slightly higher nipple-areolar position is beneficial. In your case they would provide no breast lifting benefit. More substantial breast lifting techniques are needed to really lift your breasts and that would involve vertical and maybe even horizontal breast crease scars as well. Given the amount of sagging that your breasts have and your young age, the trade-offs for a breast lift are very questionable. Iwould not recommend this procedure at your age. Wait until after you have had children when the need will be greater and the scar trade-off will be more convincing.

Dr. Barry Eppley

Indianapolis, Indiana