It depends how the operation is done

George J. Beraka, MD answers: After breast reduction surgery will my breasts fall down?

I had breast reduction surgery last year,my husband always say that my breast are falling down to me it's seem the same as i had done opperation is it true the breast can come down for a period of time ?


George J. Beraka, MD
9 months ago

To OOPRUYAA,

Hi! The right way to do a breast reduction is to shape the breast tissue from the inside with deep stitches. If the new shape is created just by pulling on the skin, then the breasts will sag after a breast reduction because skin stretches.

A: It's called "bottoming out"

Kenneth R. Francis, MD
9 months ago

Following a classic breast reduction surgery, the breast tissue can be pulled down by gravity stretching out the skin. This phenomenon is known as bottoming out and can be happening to you. See your plastic surgeon for an examination and he/she can tell you if this is the case.

A: Your breasts should not fall significantly 1 year after surgery.

David Shafer, MD
9 months ago

Oopriyaa,

Your breasts should not fall significantly one year after breast lift / breast reduction. Initially after surgery you may have considerable swelling which may takes several weeks to months to completely resolve. As the swelling resolves, the tissues settle which may take away from some of the projection of the breasts, but this usually leads to a more natural appearing breast.

Additionally, having surgery does not stop the aging process. So, your skin will continue to age just as it did prior to surgery. If you include pictures, we may be able to give you more specific advice.

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A: Breasts can sag after surgery, it is expected

Tracy M. Pfeifer, MD
9 months ago

Think of breast reduction surgery as having two components:  one is a reduction of the volume of the breast and the second is lifting the position of the nipple areola complex.  Immediately after breast reduction, the breasts are very "lifted".  However, in time, the skin relaxes, gravity continues to pull down on the breast and natural aging, which includes a loss of elasticity, continues. 

In short, many patients feel their breasts are sagging somewhat after reduction surgery; however, it is usually not to the extent that it was prior to surgery.  Surgeons use different techniques to combat this "sagging"; the vertical pedicle technique of breast reduction is one that can be used to try to minimize this sagging, however, not all patients are candidates for this type of procedure.

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A: Breast area usually lifted after reduction

Steven Wallach, MD
9 months ago

After a breast reduction, the breast volume is reduced and the breast area is usually lifted. However, over time the breast will sag again as it would for any aging.

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