Breast Implants: Q&A
Ask a QuestionImplants for Sagging Breasts with Crepey Skin?
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?
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15 Doctor Answers |
Asked by
melei
in New York
+3
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...
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Englewood Plastic Surgeon
+2
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....
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+2
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,...
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+2
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...
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+1
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.
+1
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...
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+1
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...
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+1
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...
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+1
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.
+1
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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