Breasts Sagging After Weight Loss. Do I Need Breast Augmentation Redone?

I am 44 years old, 5'1", 125lbs and had my augmentation done 5 years ago with 350cc's moderate profile under the muscle. Since then I have lost approximately 25lbs. and breasts have become very saggy with no fullness on the top. I am considering getting them redone, but I am worried that I need a lift as well. My main concern is having more fullness and cleavage. What are your thoughts?

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age 35-44 sagging 5 ft 0 in to 5 ft 3 in 350-399cc under muscle weight loss 110-129 lbs moderate profile revision

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11 Doctor Answers | Asked by Julz1966 in SC

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Breast augmentation

Breast sagging as a result of weight loss can be addressed 3 ways. First we must determine if you breast volume is still adequate. If you want more volume than a larger implant would be necessary. If the volume is good than a breast lift would be appropriate. Sometime both larger implatns and a breast lift are necessary.

Re: Breast sagging after weightloss - augmentation or lift?

Unfortunately we do not have a lateral photograph to see the degree of glandular ptosis you may have off of the implants; also it would be important to know if the superior fill was symmetric. If that is the case then by just pinching the inferior tissue beneath the nipple areola you can visualize what a lift would accomplish. If you feel you need to be larger then you would need to replace the prosthesis. My rule of thumb is that if you are happy with the size and the prosthesis are in good... more

Sagging breasts after weight loss

A direct examination should be performed to determine the exact nature of your complaint. If there is adequate volume or excess skin or both? A simple solution would be a larger implant if appropriate or a breast lift maybe needed possibly with a new implant if there is excessive skin. Sometimes Strattice BPS (by LifeCell) is used to hold the implant up under the chest muscles as a sling then the breast lift is performed. It is very important to have a stable weight before having... more

Breast Lifting after Weight Loss?

Thank you for the question. It is not possible to give you good advice without direct examination. However, based on your description of weight loss and the resulting "saggy" appearance of the breasts, it is very likely that you will benefit from breast lifting surgery. It would be in your best interest to meet with board certified plastic surgeons well-versed in revisionary breast surgery. For prospective patients interested in breast surgery,... more

Breast lift

With the weight loss, you most likely deflated a bit, and from the photos it looks like you need a breast lift.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Loss of upper breast fullness many years after augmentation and weight loss.

I am confused, in this picture, is this before are after the weight loss? IF you desire upper fullness you will likely require a lift with implants.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Correcting loss of volume and sagginess

There are two issues which you are referring to: more fullness, and less sagginess. When you lost weight, you likely lost volume in your breasts. However, by having implants, this change has likely been less dramatic. To improve the "sagginess" of your breasts, a mastopexy or breast lift would help. Another beneficial procedure may be the placement of Strattice (a dermal matrix) to provide you with an "internal bra" to allow for implant support and proper long term... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Lifting Breast with Implant After Weight Loss

Both weight loss and time will have detrimental effects on the size and shape of your breasts. With the changes you have experienced you will likely need a breast lift. This can restore your upper breast fullness as well as cleavage by narrowing the width of your breasts. The question is whether you need larger implants or will the lift alone achieve your goals. If you are happy currently in a bra - it might be that a lift alone will suffice. However, if you... more

Breasts sagging after weight loss

Dear Julz1966, Make sure that your weight loss is stable before considering additional breast surgery, or you may end up with further changes to the appearance of your breasts. You may have lost some weight from your breasts, so your breasts may indeed be smaller now than before. Your main concern is that you want more upper pole fullness and cleavage. These issues are best addressed with getting larger (and wider) implants. Getting... more