Candidate For Breast Augmentation? I'm Overweight.

I lost 100 lbs but am still at 175 lbs at 5'2. My breasts got ALOT smaller and it is terrible. I am completely out of proportion now. Eventually I want to get a tummy tuck as well but I wanted to wait until I lost another 20-30 lbs. Also, due to costs and safety-I wanted to get one procedure at a time. I am planning on going out of town and was just approved for a carecredit account-which should cover the augmentation. I still need to cover out of town hotel stay. Is getting the augmen 1st ok?

Doctor Answers (27)

Overweight and breast implants

+2

Congratulations on your weight loss.  I always recommend that my patients be at their goal weight prior to any cosmetic procedures.  Additional weight loss may alter your body in a way that could detract from the results of any procedure.  It is also important to be a stable goal weight for a few months prior to your procedure.  It is a bad idea to lose a significant amount of weight and head straight to surgery.  You mentioned that you wanted to stage your procedures for safety and costs.  I recommend waiting until your body is ready for surgery for the same reasons.  Good luck.


Cleveland Plastic Surgeon
5.0 out of 5 stars 29 reviews

Wait until ideal weight

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Scientific research has confirmed an increase in the occurrence of complications related to body contouring surgery in patients with a high Body Mass Index (BMI). It is highly recommended that you reach a normal and stable weight for your safety. Doing so will also improve your results.

Patients should wait until their weight is stable (for a minimum of six months) and within a healthy range (ideally a BMI – body mass index – less than 25) before moving forward with a tummy tuck. Losing additional weight after the procedure creates more loose skin and offsets many of the benefits of the abdominoplasty. Gaining weight can also lead to significant problems. When a patient gains weight after their tummy tuck, extra tension is placed on the incision, often widening the surgical scar. The new adipose tissue that develops with weight gain also stretches the abdominal skin and negates benefits. For all of these reasons it is highly recommended that a potential patient maintain a stable target weight before undergoing abdominoplasty or any other form of body reshaping.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews

Candidate for breast augmentation. I'm overweight b

+1
Hello! Thank you for your question! Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. You appear to be an excellent candidate!  However, it is always recommended to get down to your ideal weight for your safety as well as to achieve the best result. 

Things to to consider during your consultation, which your surgeon will discuss with you, include implant type (saline vs silicone), shape/texturing of implant (round vs shaped/textured vs non-textured), implant position (sub pectoral, subglandular, or subfascial), incision (inframammary fold, periareolar, axillary, or TUBA), and size of implant. This can be performed with/out a breast lift, which would serve to obtain symmetry in breast size or nipple position as well as improve shape. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory. I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Too large of implants for the woman often destroys the breast pocket and breast shape, thus creating an oft seen in correctable problem later.

In general, implant size does not correlate with cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size or implant size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Your breast width is the most important measurement.

Hope me that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

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Weight loss and cosmetic breast surgery

+1

First of all, congratulations on your weight loss. What a great effort!  Not only should you feel better about yourself but you have significantly improved your health and have reduced your risk of having cosmetic surgery. I have never seen a women who had lost anywhere near 100 pounds and did not need a breast lift at the time of getting breast implants.  You may want to have a breast lift first and then get implants when you get your tummy tuck after you have lost more of your weight.

James McMahan, MD
Columbus Plastic Surgeon
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It would be best complete your weight loss first.

+1

There is no reason why you should not begin with a breast augmentation but I do have some concerns with your timing and your desire to "go out of town" for the procedure. If you are still expecting to lose an additional 30 lbs. this amount of weight loss can affect the implant size and or a need for a lift in conjunction with the augmentation. I would advise you to be patient and lose the additional weight before undergoing the augmentation. Otherwise you are risking a need for a second breast surgery with a larger implant and new or revision breast lift. Recognize also that breast augmentation can be accompanied with both short and long term complications. If they occur it is much more convenient,among other considerations, to have your surgeon close to home. If at all possible choose a Board Certified Plastic Surgeon near to where you live.

David A. Ross, MD
Chicago Plastic Surgeon
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Stabilize weight prior to any cosmetic procedure.

+1

In cases of massive weight loss, it is important to stabilize your weight prior to having any cosmetic surgery. This allows for safer anesthesia, more predictable results, and improved healing. Many women find they need a lift or an autologous augmentation following weight loss. An augmentation is also common. However, if you continue to lose an additional 20-30 pounds, you may find that you lose significant weight in the breasts. This weight loss could negatively impact the look of your breasts.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 12 reviews

Cosmetic surgery in the overweight patient

+1

You should not have any cosmetic surgery until your weight loss has plateaued and been stable for 6 or more months. Women who have breast surgery while losing weight are frequently unhappy with the result after they stop losing weight/the weight loss plateaus.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Elective cosmetic surgery and weight loss

+1

You have already done a great job by loosing 100 pounds!  I think that it would be wise for you to reach your target weight before having any elective surgery.  As you have stated, your body is out of proportion so with further weight loss the changes will continue.  Once you have reached your goal, your surgeon can better plan both the augmentation and tummy tuck to give you the results you want.  You will also be less of a surgical risk and may even be a candidate to have both procedures done at once.  Good luck with your weight loss.

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.5 out of 5 stars 11 reviews

Considerations regarding breast and abdominal surgery

+1

You would be best served if you do lose the additional 20 - 30 pounds that you are planning on losing. That would allow you to obtain more predictable and desirable results both for your breasts as well as your abdomen. It would be your decision as to whether you have breast surgery and the tummy tuck performed together which would be more cost and time effective or have them done separately.

Photos would be helpful with regard to your breasts. Given your comments, it may be very likely that you would require a lift in addition to an enlargement.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast augmentation if overweight?

+1

Hello,

There are plenty of women who get breast augmentation and are over weight.  It sounds like you are in a transition period however where you are continuing to loose weight.  I would encourage you to make sure that you get your breast augmentation when it is a good time of your life to do so.  Get down to your stable weight and make sure that the money spent will not be a financial stressor in your life.

All the best,

Dr Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.