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Implants for Sagging Breasts with Crepey Skin?

asked 3 years ago by melei in New York
Latest answer by Paul C. Zwiebel, MD
Question viewed 2,832 times
Tags: crepey skin, Virtual consultation

My breasts are saggy (from massive weight loss) with loose and really unattractive crepe-like appearance. I have lost a lot of weight (about 50 kilos) and have loose skin all over my body. I am considering a full Tummy Tuck rather than a body lift as I don't want the wrap-around scar. I would also like to have implants to address loose and crepey breast skin, but don't want my breast too large. Should I consider having breast implants? Could a small implant be effective? What are some things for me to consider, as this is a bit different than just wanting larger breasts?

15 answers to Implants for Sagging Breasts with Crepey Skin?

Implants can help

Congratulations on your weight loss. As if that wasn't hard enough, now you've got all this extra skin to take care of. The excess skin you have after your weight loss remains crepey and deflated looking. Breast ptosis (sagging, crepey breasts) after massive weight loss is a common problem. Your breasts, I assume, were much larger before your weight loss. Now, they sit flatter on your chest and droop. Some of the key points are how much they have "settled" and what is the... more

Edward S. Lee, MD
Englewood Plastic Surgeon

Breast Implants After Large Weight Loss

Your description of drooping with crepey skin suggests that you may be best served with a combination of breast lift and breast augmentation (implants). The implants can restore lost volume and help to create more fullness in the upper chest. The lift removes lax, saggy skin, repositions the breast and nipple to a more attractive position on the chest, and produces a more pleasing shape. Your plastic surgeon will be able to guide you after examination of your specific situation.... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

Breast Rejuvenation Following Massive Weight Loss

Congratulations on your weight loss. When there is laxity of the breast skin that makes the breasts appear somewhat droopy, the addition of a breast implant of moderate size can 'fill up' the excess skin and create the appearance of a breast lift (although this is not truly a breast lift or 'mastopexy'). This is often a situation that exists after pregnancy and lactation, or following significant weight loss. In patients with more advanced drooping of the breasts,... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

This is part of the post weight loss routine

Improving your abdominal contour and breast shape are both common procedures in the post weight loss patient. They share in common that they are tradeoffs of shape for scar and both usually produce nice results. An implant alone won't do it for you as you will need a simultaneous lift. This is more complicated in the weight loss patient because typically the inframammary crease (the crease below the breast) becomes very loose and ill-defined from weight gain. Make sure you go to a... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast implantation with lax skin

The ultimate improvement in breast shape will relate to how well the lax skin will accomodate the breast implant and change in volume. In some cases, a breast lift will be required to recontour the skin around the implant.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Breast implants after massive weight loss

First of all, congratulations on your weight loss. A truly impressive feat. The only negative for most folks is that they find how stretched out their skin is. The natural recoil of the skin is gone, much like stretching out a spring. Also, striae or stretch marks are common from the rapid expansion that occurred during the weight gain. What this leaves is what you describe: Lax skin with a crepe like appearance. Rejuvenation of the breasts after massive weight loss is significantly... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Breast surgery after massive weight loss

Congratulations on your significant weight loss! It is difficult to determine which procedure would be best for your circumstance. A photo would have been very helpful. However, based on the information you provided, you would probably benefit from a breast augmentation and lift (mastopexy) to give you a longer-lasting result. Depending on the severity and complexity of the case, usually patients who have lost a significant amount of weight, need to lift the nipple-areola complex to... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

A conservatively sized implant with or without a breast lift may work for you

The answer to your question lies in the degree to which your breast hangs and in the amount of residual breast tissue you possess since your weight loss. If your droop is considered minimal then a conservatively sized implant alone can be used to fill up the empty skin and give you the look you desire. However, many times following a weight loss of the magnitude you have experienced, more then just an implant is required. The amount of excess skin must be addressed with a breast lift... more

David A. Ross, MD
Chicago Plastic Surgeon

If you don't want bigger breasts, don't have implants placed to camouflage another problem.

I you have lost breast volume from weight loss and want it restored, a breast augmentation might fill up the skin adequately to avoid a lift. This is something that you will discuss with your surgeon. However, If you don't want to be bigger, have a breast lift only. Don't have implants placed making you a size you don't want to be to camouflage some loose skin.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

You probably need breast implants and a lift

Hello, The extreme excesses in skin and the loose nature of that skin make breast improvements after extreme weight loss almost invariably implantation plus an involved breast lift. There is no need for large implants just enough to give some mass to the breasts.

John P. Di Saia, MD
Orange Plastic Surgeon

Massive weight loss and breast implants

Poor skin quality after weight loss can impact any procedure that is performed. It sounds more than likely that you will need implants and a breast lift. But, without examining you it would be hard to tell. I do this procedure all the time and it is interesting to me that each patient is very different. Some women just need implants, some need only a lift, and others need both. I would have to say that the majority usually need an implant and a lift. A small implant can be used to give... more

Steven Wallach, MD
Manhattan Plastic Surgeon

You need a very effective breast lift, with or without implants.

To melei, Hi! Weight loss patients are in a special category. The skin has lost so much elasticity. So you need a "maxi" breast lift, not the minimal scar lift that I usually do. The excess loose tissue can often be placed inside the breast (under the nipple) to work as an "auto-implant". Otherwise, implants can be used. But the key is to do the lift INTERNALLY. The breast tissue needs to be moved up on the chest . You cannot rely on the skin which is so thin and... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Massive weight loss patients almost always require implants (silicone preferably).

Your areas of concern are very common for women who have lost a significant amount of weight. Nearly all women who have undergone massive weight loss are concerned with the loss of volume in their breasts, especially at the top. In these patients, it is really difficult to get a good result without an implant. Most often, a breast lift will be needed to reposition the nipple to the proper location and to remove the excess skin. An implant may be placed at the same time or as a second... more

Thomas T. Nguyen, MD
Orange County Plastic Surgeon

Implants and a lift are often the best choice

Hi Melei, First off, congratulations on your weight loss! You've got a lot to be proud of. After weight loss, it's pretty common to have volume loss and dropping of your breasts. Replacing the volume with an implant, and lifting the breast itself is usually the way to go. The implant provides volume and allows the surgeon to place it where it is needed. Sometimes small implants placed to provide superior pole fullness is what meets the goal... othertimes larger implants with broad... more

David L. Kaufman, MD
Folsom Plastic Surgeon

Test with a bra

You can estimate what you might need by wearing a bra that produced the dimensions and projections you desire. If you need a padded bra to produce that, you will probably require an implants. You can bring that bra to your surgeon who can analyze the dimensions and volume. Alternatively, try on a bra you'd like to fill-out. If your native breast fits volume-wise, you might be able to do with a lift. If there is a looseness and emptiness, you will need an implant and again bring in that bra... more