Breast Reduction: Q&A

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Full and Perky Breasts After Breast Reduction?

I am going to have a breast reduction and want them to look full or perky. I am wondering if during a breast reduction, anything can be done to maintain or increase fullness post surgery.

I have had two children and nursed both so now have very large breasts. I am afraid that after a breast reduction I will have smaller breast but that they will look less full. Also I am overweight and am concerned about the look of my breasts after the reduction, if I lose more weight.

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12 Doctor Answers | Asked by scruffy in Portland

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Perkiness after breast reduction

I answered your TT question. As I suggested, you should lose weight before a TT to get the best result. Same for the breast reduction as if you lose 20-30 pounds after a reduction, you may lose all shape from the operation and look lax and loose. But realize that a breast reduction is an operation on stretched out tissues and can't give the same look of perkiness and upper pole fullness as a breast augmentation can. They are completely different procedures.

Full and Perky Breasts After Breast Reduction

The size and shape of the breasts after a breast reduction depend upon the technique used and the amount taken and to a certain extent the overall size of the patient. In addition, once the procedure has been performed the shape may change if the patient has a fluctuation in weight.

Breast Reduction and Implants?

Thank you for the question and picture. As you have discussed, it will be in your best interest to achieve a long-term stable weight prior to undergoing breast reduction surgery. This operation will serve to remove excess skin, adipose tissue, and breast tissue. The breasts will be sitting higher on the chest wall. Several months after the breast reduction surgery you will be able to evaluate the results of surgery and determine if breast implants are of interest to... more

Perky Breasts Not Likely With Reduction Alone: Consider Staged Augmentation

You are interested in a breast reduction and hope to have perky breasts, similar to your breasts before pregnancies and nursing. First, let's address the timing of such surgery with your intended weight loss. It's always better to try to achieve your realistic weight first, since the size and shape of your breasts may change with weight loss, and you would prefer that change occurs before surgery so those changes can be incorporated into the... more

Perky breasts after breast reduction or breast lift depends on surgical technique.

Hi. The best breast reduction or breast lift operation to get perky breasts for a long time is the VERTICAL breast reduction (Lejour or Hall-Findlay technique).

Breast reduction and a balanced appearance

Most plastic surgeons would advise you to be closer to your desired weight before having breast reduction. Certainly, if you lose a significant amount of weight after breast reduction, your breasts may end up being too small and some of the lift will be lost. Most breast reduction techniques shift tissue superiorly to try to achieve fullness in the upper aspects of the breasts, but it is hard to maintain a "perky" look, and some settling always occurs. If you can't lose weight,... more

Lose weight before breast reduction

Loss the weight FIRST! Than consider the reduction.But remember a Plastic surgeon can NEVER guarrente the "perky" postoperative breasts. Some do, some don't. Best of luck.

Breast Reduction and shape

A good Breast Reduction will easily leave you with a full cup. However, if you go on to lose significant weight after surgery, then your breasts will most certainly deflate a bit. Lose the weight first, then have the reduction if possible.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Weight loss and breast reduction

If you are contemplating losing weight to a significant degree, I would recommend waiting until you achieve your target weight and are able to maintain it for 6 months. This will ensure that your breast reduction result will be predictable and stable. Depending on what your breasts look like at the time of surgery, I wthink you should be able to maintain fullness with the appropriate procedure. Describe exactly what you want to your surgeon so he can tailor the procedure to your goals.... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Full and perky breasts after breast reduction

Superior pedicle techniques are usually better at maintaining upper pole fullness. You can discuss this with your plastic surgeon. If you lose weight now, do your breasts become smaller? If not, this should not change much after surgery. It is important to remember that even though the breasts will weigh less, they do not weigh zero. Gravity will still exert its effect and the breasts will sag over time, although not as much as they do now. Also, as we age, the elasticity in our skin... more

Weight loss after breast reduction may precipitate need for a breast implant to achieve perky look

It is impossible to predict the appearance of your breasts with weight loss. When planning any cosmetic surgery procedurel, it is best to be at a STABLE WEIGHT. IF you proceed with teh reduction now, you may need an implant or lift at a later date., The first patient in the video below shows one example of a young individual who underwent a breast reduction and subsequently lost weight necessitating a breast implant to achieve upper breast fullness. see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Lifted Breasts may sag after Weight Loss

A Breast Reduction WILL lift the breasts and result in full perky breasts. The "perkiness" is established by striking a perfect balance between the surface area of breast skin AND the contained volume of the breast volume. If you then proceed to lose breast volume, as it sounds like you are planning on doing with weight loss, your breasts will deflate and sag, If you want to maintain the results of cosmetic surgery, you need to first reach your ideal weight and then stay there.... more