Post Breast Lift Sagging After Weight Loss

I lost about 65 pounds over the past 4 years. I had a breast lift 7 months ago, after losing the weight. The top of my breasts has loose skin again already. They are very squishy and I can pinch the extra skin on the top of them. When I bend over they are super saggy. I am so upset about this. If I get a revision lift and get them reduced to a small C will this help?

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7 Doctor Answers | Asked by CT43 in CT

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Post weight loss sagging after a breast lift

Patients who undergo massive weight loss have sagging and stretching and overhang of their skin, and the skin has been damaged. A breast lift is designed to lift the breast and nipple and reduce the overhang while still keeping the scars under a swimsuit line. Breast lifts do not tighten the upper pole of the breast, and in MWL patients the skin of the entire chest has been stretched in all directions. So, although a lift will tighten the skin in the lower breast, the damaged... more

Revision breast lift requires exact diagnosis of anatomy.

Hi. It is quite hard to get a good long term result in breast lift after big weight loss. Revision will probably help you and there are four general options: 1) The skin elasticity is usually not great. The skin envelope may need to be re- tightened. This just involves redoing the breast lift with the same scars. 2) Tissue under and to the side of the breasts can be tucked inside the breasts as flaps. This maneuver is tricky, but it... more

Revision Breast Lifting After Weight Loss?

Thank you for the question. Unfortunately, given your significant weight loss and how loss of skin elasticity as well, your situation is not uncommon. Although difficult to give you good advice without direct examination or viewing pictures, it sounds like you may be a good candidate for revision mastopexy as well as the use of breast implants. In-person examination with well experienced board-certified plastic surgeons will be helpful. Best wishes.

Fat grafting or implants will help

You have the common problem with the lift which is lack of upper pole fullness. Your options are implant or fat grafting. I offer my patients fat grafting to the upper pole of the breast.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Recurrent sagging after breast lift

Massive weight loss can have significant deleterious effects on breast skin tone and elasticity. This can result in restretching and recurrence of some of the sagging after a breast lift. If it is enough to really bother you, at 7 months post op you are at a time when revision may be considered. If you are concerned at maintaining size, lateral breast tissue can be repositioned into the central and upper breast regions. This , if it has not already been done, along... more

Weight loss and breasts

Sagging of the breasts depends alot on the quality of the skin. Considering that you lost a lot of weight, your skin more than likely rebounded a bit from the lift with some laxity. A revision may help.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Sagginess after breast lift

After significant weight loss there may be a lot of excess skin and loss of breast volume. The solutions to looseness are to either go small enough so that the remaining volume fills the reduced skin envelope or add an implant to fill out remaining skin laxity.