Breast Lift Or Breast Reduction? With aging or after multiple pregnancies, many women develop breast ptosis. Mammary ptosis is the medical term we use to define saggy breasts, which are breasts that are low on the chest wall, with the nipples facing down instead of forward. The sagginess of the breasts can also be associated with a loss of mammary tissue, making the breasts look empty. Breast sagginess can occur at any age and can affect women with different lifestyles. However, generally speaking, women with larger breasts are more prone to the early onset of breast ptosis. In other words, having big breasts can cause them to sag sooner than breasts that are on the smaller size. Many women confronted with breast sagginess at a young age are wondering whether they need a breast lift or a breast reduction to correct the imperfection. So, how do we make the decision between these two procedures? Before anything else, you should know that this decision should be made only after a consultation with the plastic surgeon. During the pre-operative consultation, the plastic surgeon will perform certain measurements, diagnose how severe the breast ptosis is, and discuss your goals and expectations from the procedure. The main difference between the two procedures is that the breast lift only removes the excess skin and associated fat tissue while the breast reduction also eliminates a part of the mammary gland tissue, aside from the skin and fat. Undergoing a breast lift can make your breasts look a bit smaller, due to the elimination of the skin and the re-centering of the mammary gland; however, the reduction is not significant for most patients. Undergoing a breast reduction can make your breasts considerably smaller. For example, you can get from an F cup to a C cup if this is what you desire. Breast reduction surgery is performed for more than aesthetic purposes; it also aims to provide the patient with increased functionality. To get an idea of what procedure is better suited for your case, just think how much smaller would you like your breasts to be? Are you thinking 500 grams each? If so, then the breast reduction surgery is definitely the recommended procedure for you. This is also the case if you find it difficult to address day-to-day activities because you are in constant back, neck and shoulder pain due to the weight of your breasts. If you are not struggling with limited functionality or other inconveniences associated with having overly large breasts, chances are the breast lift procedure is the optimal surgical plan for your particular case. During the procedure, the mammary gland is re-centered to give the breasts a perkier and firmer appearance. The position of the nipple is also corrected, and your breasts will look youthful once again. Make sure to discuss the details of the operative plan for the breast lift with the plastic surgeon before scheduling your procedure.