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?
Breasts Sagging After Weight Loss. Do I Need Breast Augmentation Redone?
Doctor Answers 15
Breast Lift For Sagging Breasts After Weight Loss Often Best Option
Thank you for your question. Weight loss has reduced the volume of your breast tissue and since the skin envelope is the same, the remaining breast and implant has sagged.
A breast Lift plus possibly a larger implant is likely your best option.
Be sure to see a Board Certified Plastic Surgeon who is experienced in Breast Lift Surgery.
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 position, then you do not need to do anything to the prosthesis and go ahead with a straight vertical mastopexy with a small inferior tissue excision. This would remove the droop, tighten the inferior aspect of the breast and place the nipple areola more appropriately over the prosthesis. As women age, and in your case with the weight loss, they tend not to want a larger size since it will give the appearance of being a bit heavier. So if the prosthesis are well positioned you do not necessarily need to change them unless it is your wish to be larger.
Breast lift may be necessary
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It is possible to perform a mastopexy implant to give the increased fullness and cleavage that you desire and there are pros and cons of this. Timing is also an important consideration as one would ideally like to limit the number of operations you have in a lifetime. I would tend not to recommend larger implants on there own without a lift unless you accepted that you will need a mastopexy at some point.
There are pros and cons of a one stage and two stage mastopexy implant and you would need to consult with a PS to make an informed decision if this is the route you wish to follow.
Breasts redone after weight loss?
I am not sure a lift is what you need because you may not have breast sag (nipple position lowered). Just removing more skin and expecting the skin to act like a bra and not descend over time is unrealistic given that skin has a natural property to expand. You could go with a larger implant but truly a physical exam is required to know that for certain.
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 any surgical procedure.
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, it is always best to be at a long-term stable weight before proceeding with these operations.
With the weight loss, you most likely deflated a bit, and from the photos it looks like you need a breast lift.
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.