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23yr Old Mom, Extreme Breast and Abdominal Sagging, Following 50+lbs Weight Loss.

asked 1 year ago by txgiggles in San Antonio, TX
Latest answer by John Whitt, MD
Question viewed 1,669 times
Tags: age 18-24, stretch marks, 150-169 lbs, 5 ft 4 in to 5 ft 7 in, sagging, definition, options, scar

I am 23years old mom of 2, 5'6", 155-160lbs. My breasts went from 34C to 44DD(engorgement) to now a 38B. They are very soft, with no definition to them without a bra, considering the amount of relaxed skin ans stretch marks, afraid of the scarring from a lift, would filling the skin up with an implant be plausable?

Also my stomach, it's a soft mess, stretch marks above my belly button. I call it a brain because I can squeeze it in both hands and my god I look thin without it. My options are?

13 answers to 23yr Old Mom, Extreme Breast and Abdominal Sagging, Following 50+lbs Weight Loss.

Breast lift and Tummy Tuck

Hello Txgiggles, Unfortunately, implants alone (even really big ones!) will not give you pretty breasts that have the form and contours that most consider pleasing. Typically in your situation, a breast lift with or without a partial reduction, and possibly implants can give you a very nice and durable result. A breast surgery specialist can give you the best scars possible, and usually they become inconspicuous with time. Your tummy skin has lost it's... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Mommy Makeover

It appears as if you would benefit from a "mommy makeover" or a tummy tuck combined with an augmentation +/- a breast lift. It looks as if you would get a nice result from a full tummy tuck. I understand wishing to avoid the scars associated with a breast lift, but with the volume changes you describe, you probably will be unhappy with an augmentation without a lift.

John Whitt, MD
Louisville Plastic Surgeon

Mommy makeover

Scars are always the greatest concern to our patients. I think seeing before and after photos during a consultation will be best to weigh the benefits of plastic surgery against scarring. A tummy tuck would appear to give the best result for your stomach and I would not present you with other options. Seeing your breasts and measuring the position is critical to determining what to do. Also you may want to increase the size and an implant would then be needed. Implants alone would not be... more

Michael Hueneke, MD
Nashville Plastic Surgeon

23yr Old Mom, Extreme Breast and Abdominal Sagging, Following 50+lbs Weight Loss...

According to your photos and the issues you describe, I would recommend a "Mommy Makeover." It is great that you have lost that much weight, but unfortunately the skin that sags also has loss of elasticity. That means the breast skin may not be able to hold up an implant without a lift. There are several types of lifts so possibly the incisions can be minimal in nature. A Mommy Makeover also includes Liposuction... more

Shain A. Cuber, MD
Marlboro Plastic Surgeon

Options after pregnancy and weight loss

There are many options after pregnancy and weight loss, though the most important first question is a further pregnancy in your future. If you plan more children your abdomen will have to wait. If you are afraid of breast scars breast implants alone are an option, though with the weight loss we feel the result will be disappointing. Some form of a breast lift with an implant will give the best shape and some freedom from dependence on a bra. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

You're a great candidate for a mommy makeover

Greetings, Provided you are done having children, you're a great candidate for a mommy makeover. This consists of a tummy tuck, liposuction, and either a breast lift or breast lift with implants. From your description, the breasts are saggy. Using an implant alone will create larger breasts, but they'll still be relatively saggy. A breast lift in which the breast skin envelope is tightened and the breast tissue is reshaped should be a component of any breast operation you... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Extreme sagging of breast and abdomen

You present a common problem that we, as plastic surgeons, deal with. A combination of a breast lift plus or minus implants, depending on whether or not you want your breasts to be bigger, and an abdominoplasty will give you a great result. Many women are concerned about the scars from a breast lift. My experience has been that the improvement in shape far outweighs the presence of the scars. Many of my happiest patients are women who have had this combination of... more

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon

Breast & Tummy Combination is the Answer for You (AKA - mommy make-over)

You are right, based on your photos. You've reduced excess weight, but looseness impairs your appearance. In addition to weight loss, pregnancy alters tone or tightness of your skin, particularly your breasts and tummy. See a board certified plastic surgeon for a consultation, examination, and discussion of your options. They will likely suggest procedures which remove generous amounts of loose skin and some fat, such as breast lift (mastopexy) with or without... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Lift, Tummy Tuck

You have issues that are quite common and are now bundled under the term "Mommy Makeover". Options include a tummy tuck with muscle tightening, liposuction and breast lift with or without implants. Although you may be able to fill out the sagging breast skin with implants alone, a better result is often obtained when combined with a skin resection. Scarring is certainly an issue. Discuss this with your PS and ask to see pictures. Good Luck!

Brian Klink, MD
Sacramento Plastic Surgeon

www.solanoplasticsurgery.com

Mommy Makover surgery

If you are confident that you are through having children, you seem to be a good candidate for "mommy makeover" which is the term that has come to be associated with the combined procdure of abdomen and breast surgery. This is fairly extensive surgery so it is important to be sure of your statu on havong more children.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

Auto augmentation with tummy tuck

If you are happy with your size of your breasts in a bra, there is no need to use an implant. Your breast tissue is repositioned higher by using an internal mesh bra. This procedure can be done through a circumareola (sub-areola) incision. This means that the scar is only around the areola. If you have too much ptosis, then you may need a vertical incision as well. There is no need to do the anchor incision. Looks like you are a good candidate for a... more

Hilton Becker, MD
Boca Raton Plastic Surgeon

Mommy makeover

Your best treatment option if you are done having kids is a mommy makeover with a tummy tuck and a breast lift done by an expert plastic surgeon. The scars will fade and you will love the reshaping and toning you get from this.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Mommy makeover is a great option for you!

From the photos you look like your a good candidate for a mommy makeover which includes liposuction, tummy tuck, breast lift with or without implants. Good luck!