Sagging Breasts in San Antonio, TX | San Antonio Cosmetic Surgery

Breasts tend to evolve as life goes on, and sometimes that evolution shows up in small, interesting ways. How a neckline sits, how certain fabrics fall, how the shape feels when you’re getting dressed. Plenty of women reach a moment where a little lift sounds appealing, something that brings everything into a smoother, more balanced place. At San Antonio Cosmetic Surgery, Dr. Ortegon approaches sagging breasts with an eye for refinement and a feel for what looks natural. The tone is relaxed, the care is personal, and the enhancements are tailored to match your vibe rather than change it.

What Causes Sagging Breasts?

Sagging breasts can happen for a mix of reasons, and most of them come down to normal effects of life. Skin changes with age, breast tissue moves through phases of fullness and softness, and weight fluctuations can influence how everything sits. Pregnancy and breastfeeding can also reshape the chest, giving the ligaments and skin a different workload than before. Genetics plays a role, too. Some women naturally have looser or more elastic tissue. All of these factors combine in unique ways, which is why sagging can look different from person to person. At San Antonio Cosmetic Surgery, Dr. Ortegon evaluates your natural structure, skin quality, and volume changes to pinpoint what’s contributing to the shift and what type of enhancement will create the most balanced, natural-looking result.

San Antonio breast asymmetry model wearing workout clothes

How Are Sagging Breasts Treated?

Restoring the youthful shape of breasts starts with understanding how your tissue sits, how your skin behaves, and what kind of shape feels most natural to you. Some women want a little lift, some want a touch more fullness, and others want a blend of both. We shape each plan around your individual anatomy so the final look feels smooth, balanced, and comfortably for you.

Breast Lift (Mastopexy)

A breast lift procedure focuses on elevation and reshaping. It brings the breast higher on the chest, refines the curve, and gives the overall silhouette a more supported feel. The nipple is repositioned to a more youthful level, and the breast takes on a rounder, perkier appearance—without changing your natural size.

Breast Augmentation

When sagging comes with a dip in fullness, breast augmentation can restore that volume. Implants add shape to the upper breast, create a more rounded contour, and make clothing drape the way you want. It’s a great option for anyone looking for a bit more presence while still keeping things balanced.

Breast Fat Grafting

Fat grafting offers a softer, more understated enhancement. Using your own fat, this technique fills in areas that feel flat or deflated, especially through the upper breast. It’s a subtle way to add contour while keeping the look and feel incredibly natural.

Combination Treatments

Some women see the best results with a combination, like a lift + implants for more elevation and volume, or a lift + fat grafting for a smoother, blended contour. Combination treatments are especially helpful when there’s both laxity and volume change. Dr. Ortegon walks you through how each method complements the others so the final shape feels cohesive and tailored to your body.

Non-Surgical Options

There are a few non-surgical treatments that can freshen the skin or create a subtle tightening effect, like radiofrequency devices or collagen-boosting therapies. They can help with texture and give the chest a slightly firmer feel, especially in mild cases. When the goal is meaningful lift or reshaping, though, these treatments stay on the gentler side. They’re great as add-ons for skin quality or maintenance, and Dr. Ortegon can walk you through which ones pair well with your overall plan if you’re looking for small, surface-level improvements.

Benefits of Treating Sagging Breasts

Rejuvenating your breasts can make everyday life feel easier and more comfortable, especially when you’ve gotten a shape that feels aligned with your natural proportions. Many women appreciate the way clothing fits again, the way their silhouette looks in photos, and the ease that comes from everything feeling a bit more lifted and supported. The shift isn’t dramatic. It’s a cleaner, smoother contour that blends into your style and confidence without calling attention to itself. Benefits include:

A more elevated, refined breast shape
Improved balance between both breasts
Better fit in tops, swimwear, and bras
A smoother, more youthful contour
Increased comfort during daily movement
A boost in self-confidence that feels natural and grounded

This kind of enhancement focuses on harmony rather than change, giving you a refreshed silhouette that still feels like your own.

Dr. Ortegon, San Antonio Plastic Surgeon

Who’s a Candidate for Sagging Breast Treatment?

Women consider breast lifts and augmentation for all kinds of reasons: significant weight loss, pregnancy, breastfeeding, genetics, or simply noticing that their shape has shifted over time. Ideal candidates are in good overall health, have maintained a stable weight, and want a more lifted or balanced look without aiming for a dramatic overhaul. It’s also helpful to have healthy skin quality and a general sense of the contour you’d like to see. If you've experienced breast ptosis (sagging breasts), noticed that your nipples point downward, or that your drooping breasts are starting to take a toll on your back, you may be the perfect candidate.

Keep realistic expectations; a breast lift can't add volume, but it can put things back in place. A breast augmentation can add volume, but it won't lift things back up without being paired with a breast lift. Perfection may not mean one-hundred percent blemish-free breasts. The objective is lifting, restoring volume if needed, and bringing back a generally more youthful breast appearance.

At your initial consultation, Dr. Ortegon takes a close look at your natural anatomy, breast tissue, skin elasticity, and overall proportions. This helps determine whether a lift, implants, fat grafting, or a combination will create the smoothest, most natural result. If you’re hoping for a refreshed shape that blends easily into your everyday life, you’re in the right place.

Consultation and Preparation

Your consultation at San Antonio Cosmetic Surgery is all about what you want your shape to look like going forward. You’ll sit down with Dr. Ortegon, talk through the changes you’ve noticed, and look at the details that make your anatomy unique, like skin elasticity, tissue position, symmetry, and volume. All the things that matter when creating a refined, natural result.

This is also where the planning happens. You’ll review past medical history, discuss your lifestyle, and get a sense of which treatment path fits your comfort level. Some women like the idea of a straightforward lift, others want to pair elevation with volume, and some prefer the softer route with fat grafting. The process is genuinely collaborative. We want to get you where you want to be, all while keeping you comfortable and safe.

You may be asked to adjust medications, arrange a few days of downtime, or plan support at home for the early recovery phase. Maintaining a steady weight helps the results stay smooth and consistent, and Dr. Ortegon’s team walks you through every detail so you feel ready rather than overwhelmed. It’s a supportive lead-in to a moment that’s all about feeling more at home in your own skin.

Your Procedure to Correct Sagging Breasts

On the day of your procedure, you’ll meet with the team, review the surgical plan one more time, and settle in knowing you’re in skilled hands. When Dr. Ortegon performs breast augmentation, fat grafting, and breast lifts, patients are under general anesthesia, allowing them to relax fully while the work is done. The approach depends on the enhancement you’ve chosen. A breast lift involves removing excess skin, reshaping the tissue, and repositioning the nipple to a more elevated point. Augmentation adds volume with implants for a fuller contour. Fat grafting uses your own fat to create a softer, more organic shape. Combination procedures blend these techniques so the final result feels seamless and natural.

Incisions are placed with intention, usually along patterns that blend well with the breast’s natural lines. As the breast is reshaped, the curves become smoother, the position improves, and the contour feels more aligned with your frame. When everything is complete, you’ll head to the recovery room with a supportive garment in place and a team checking in on your comfort. It’s a thoughtful, detail-driven experience from start to finish.

Lollipop Incision

The lollipop incision wraps around the areola and extends straight down the center of the breast. It’s ideal for women who need moderate lifting or reshaping. This pattern allows the breast to be tightened and elevated with minimal scarring, and the lines tend to settle into the natural transitions of the skin over time.

Anchor Incision

For more significant sagging or excess skin, the anchor-shaped incision gives the most precise control. It includes the lollipop pattern plus a horizontal line in the crease beneath the breast. This design lets Dr. Ortegon reshape the tissue more extensively and create a smoother, more lifted contour. The scar sits in a natural fold and is easy to conceal under bras and swimwear.

Periareolar Incision

The periareolar incision circles around the edge of the areola and works well for women with mild sagging or small adjustments in nipple position. It’s a subtle approach that refines shape without changing breast volume or requiring larger incisions.

Results, Recovery Process, and Aftercare

Healing after cosmetic breast surgery feels different for everyone, but most women start noticing the early shape pretty quickly once the initial swelling settles. The breasts sit higher, the contour feels smoother, and clothing tends to accentuate a perkier breast shape that better aligns with your natural proportions. The final look continues to refine over the next few months as the tissue softens and the incisions mature. The first week of the healing process is all about taking it slow. You’ll wear a supportive bra, keep movement gentle, and follow the specific post-operative instructions we provide to keep swelling controlled and the breasts protected. Light walking is encouraged, but anything that pulls on the chest (like lifting, strenuous exercise, and sudden movements) waits until you’re cleared. The goal is to let your body do the steady work of healing without pressure.

As time goes on, the breasts settle into their new position and the scars fade into softer, lighter lines. Healthy habits help maintain the result—stable weight, sun protection for incisions, and well-fitted support wear during exercise. Most women describe the outcome as a shift that blends effortlessly into their daily life: elevated, comfortable, and right in line with how they want to feel in their body.

Cost of Sagging Breast Treatment

The cost to treat sagging breasts in San Antonio varies. Each woman’s anatomy and enhancement plan is unique. A breast lift, augmentation, fat grafting, non-surgical treatments, or a combination of these techniques all come with different levels of surgical time, materials, and aftercare needs. During your personal consultation, we will walk you through the specifics of your plan so you know exactly what’s involved. Pricing typically includes the surgeon’s expertise, anesthesia, facility fees, and follow-up care. If implants are part of your treatment, their style and type also factor into the overall cost. You’ll receive a personalized quote that reflects your anatomy, your preferences, and the level of refinement you’re looking for.

Financing options are available for those who want flexibility, and the team at San Antonio Cosmetic Surgery helps you explore whatever works best for your timeline and budget.

San Antonio breast asymmetry model with dark hair

Why Choose San Antonio Cosmetic Surgery?

Choosing where to have your San Antonio plastic surgery is a big decision, and women looking for breast enhancements and lift in San Antonio gravitate to Dr. Ortegon for the softness and intention in his work. He understands shape, proportion, and how subtle adjustments can make a breast look refreshed without feeling overworked. There’s a level of expertise and understanding that comes from years of surgical experience that gives patients a sense of ease from the moment they walk in.

The environment matches that energy. The team is warm, efficient, and tuned in to the details that matter, like comfort, communication, and results that blend naturally into your body. Every step feels personal rather than procedural. You will feel supported and stress-free, with results that reflect your own aesthetic instead of a surgeon’s template. If you’re looking for a practice that values refinement, honesty, and a beautifully natural outcome, this is where you’ll find it.

Schedule Your Sagging Breast Consultation in San Antonio

A refreshed, more balanced breast shape is within reach. Meet with Dr. Ortegon to explore your options, understand what each treatment can achieve, and build a plan that aligns with your comfort level and aesthetic preferences. The process is personal, relaxed, and centered on creating a natural, refined result.

Call (210) 368-6618 or use our online form to schedule your consultation. San Antonio Cosmetic Surgery offers thoughtful guidance and support every step of the way.

San Antonio breast asymmetry model with curly hair

Sagging Breast FAQs

What are the risks of treating sagging breasts?

Risks can include swelling, temporary discomfort, scarring, and changes in sensation, all of which Dr. Ortegon discusses in detail during your consultation. Following our post-op instructions can significantly increase your chances of a smooth, successful recovery.

Will my results look natural?

Yes. Dr. Ortegon focuses on balanced, refined shaping that fits your frame and maintains a natural-looking contour.

Do breast augmentation and breast lift scars fade?

Scars soften and lighten with time, especially when cared for properly and protected from sun exposure.

Can sagging breasts be improved without surgery?

Non-surgical procedures and treatments can freshen the skin, though meaningful lift or reshaping still comes from surgical options where the underlying breast tissue can be manipulated.

How long will my results last?

Results are long-lasting and maintain their shape best with stable weight, good support, and healthy skin care habits.

Can I combine a lift with implants?

Absolutely. Many women pair both techniques to elevate the breast and restore fullness in a single procedure. Mention this to Dr. Ortegon, and he can explain how implants could further enhance your personalized treatment plan.

Is breast enhancement after weight loss common?

Very. Weight changes often influence breast ptosis, or sagging skin and loss of fullness, and enhancement can help restore a more balanced shape.

Schedule a Consultation

Contact us today to schedule your consultation with the renowned San Antonio plastic surgeon and breast & body specialist Dr. Delio Ortegon. Take your first steps to a more beautiful you.

4910 Golden Quail Suite 140, San Antonio, TX 78240

By submitting this you agree to be contacted by San Antonio Cosmetic Surgery via text, call or email. Standard rates may apply. For more details, read our Privacy Policy.

(210) 368-6618

Sagging Breasts San Antonio, TX