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Breast: Loose Skin, Sunken Striae Post-30lb Loss. Options?

After a 30-lb weight loss, the edges where my breasts attach to my body are marked by sunken stretch marks, especially on the tops and inner edges. There's also enough loose skin to pinch. I'm opposed to implants, and I don't want any cutting near the nipple--the risk of losing sensation is a dealbreaker for me. Is there any other kind of surgery? Can skin be removed from the outer-upper corner of the breast? Can tissue be folded in to fill the loose skin? I don't mind sag, just the loose skin.

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Breast: Loose Skin, Sunken Striae Post-30lb Loss. Options?

If the nipple/areolar position is satisfactory it may be possible to excise skin without an areolar incision, but all the breast incisions can interfere with nipple sensation in occasional patients. The alternative to skin excision is enlarging the breasts. SInce implants are out, what is left is fat injections. Without photos it is not possible to be more specific. A consultation with a plastic surgeon will be your best resource, but your exclusions may leave you with no... more

Breast Lift without Periareolar Incisions

Breast lift without periareolar incisions in the conventional sense cannot be performed. In the case that a person has pseudoptosis, skin excision from the inframammary fold can lift the breast without lowering the nipple areola complex too much.

Mastopexy or breast lift?

It sounds like you want a mastopexy, but most techniques require skin incisions around the areola.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Mastopexy without areolar incisions

You have conflicting goals: removal of the excess skin but without affecting nipple sensation. A lift will involve areolar scarring. Tissue can't be folded in; we are dealing with the human anatomy and not a piece of cloth. Fat transfer techniques may ultimately be an option for you. However, this treatment has its own risks and complications and is not suitable for everyone.

Breast Surgery after Weight Loss?

Congratulations on your significant weight loss. Given that the risk of losing sensation is a “dealbreaker”, you should stay away from any type of breast surgery. Breast lifting techniques involve movement of the nipple/areola complexes and excision of loose skin. I hope this and the attached link help.

Options for loose breast skin

I am not aware of any current technique that will achieve what you are looking for without periareolar scars. Some surgeons are working with fat transfer to enhance breast volume. If the breasts are really saggy, this won't work well, but it might be a consideration. I have used fat transfer in the setting of breast reconstruction, but not yet in the situation you describe. There are potential downsides, so you would need to discuss this with a highly-experienced... more

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