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I am 21yrs old. I'm 5'1'' and 135lbs. Can I Lose Weight to Get Smaller Breasts?

I am 21yrs old. I'm 5'1'' and 135lbs. My breasts are a size 34G. I lost some weight and went from an H to a G. Will I be able to lose weight to get down to a DD or even a DDD. My back, neck, and shoulder are constantly in pain. Exercising and everyday activities are uncomfortable, and it's also taking a large toll on my self esteem.

Doctor Answers 23

Breast reduction by weight loss

Because the breasts are mainly comprised of fatty tissue, you will find that losing weight also reduces the size of your breasts naturally. However, it would be difficult to say by exactly how much of a reduction you may experience with further weight loss. 

Weight Loss Will Help, Probably not Enough

It sounds like your breasts are sensitive to weight loss.  Losing more weight will shrink your breasts somewhat.  

However, at 5 foot 1, and 135 pounds, your BMI is 25.5.  You don't have a lot left to lose. 

It it sounds like you are very symptomatic from large breasts with neck, back and shoulder pain.  

With weight loss, you may go down a cup size or two, but experience tells me that you will still have symptoms.  

i believe that you will feel better with breast reduction. 

Weight loss and breast reduction

Thank you for your question.  Breast tissue is composed of fatty tissue and glandular tissue.  Weight loss will reduce the fatty component to an extent.  However, based on your description, it is unlikely that weight loss alone will alleviate the pain associated with your breasts.  I would recommend speaking with a board certified plastic surgeon for a full evaluation.  All the best

Keshav Magge, MD
Bethesda Plastic Surgeon
5.0 out of 5 stars 10 reviews

BR to get a lot smaller

Breast reduction, or reduction mammaplasty patients are among the most satisfied of all plastic surgery patients. Large breasts (macromastia) can often decrease quality of life for a woman. With breast reduction, you can have smaller breasts that sit higher on your chest wall. You will also find relief in your neck and back with the decrease in weight and more ergonomic position of your breasts.
There are several different variations of breast reduction, differing by size, and amount of incisions; procedure; and the results. The different types of reduction techniques include: The wise pattern breast lift, the anchor shaped incision, and the donut mastopexy.
1. The wise pattern breast lift involves an anchor-shaped incision around the natural contour of the breast. To most patients surprise, this scar is mostly hidden under the inferior aspect of the breast. However, the scar around the nipple/areola is visible. Most patients heal this anchor type scar very well and are satisfied with smaller areola in exchange for the scars. This surgery is used when there is a lot of excess skin that needs to be removed in order to lift the breast and give it a more aesthetic shape.
2. Often times, the anchor shaped incision can me diminished to create a lollipop or J shaped incision. This results in some excess skin at the inferior aspect of the breast near the breast crease that will flatten out over a 6 month period. Some patients are willing to tolerate this excess skin for 6 months in exchange for a smaller scar. This is a personal decision that each patient can make.
3. The donut mastopexy involves creating an incision around the areola and removing a doughnut-shaped area of skin. This surgery can be used for patients that need a smaller amount of lifting. This surgery results in a scrunched-up look to the breast skin surrounding the areola for about 6 months before it flattens out. Patients need to be understanding and tolerant of this in exchange for an areola-only scar. These patients do run the risk of areola widening as well.
Insurance may cover some of these cases when back pain, shoulder bra-notching, and rashes under the breast are present. Insurances vary though and your doctor can submit a report and photos to see if your insurance approves your procedure.
The ideal size depends on the size of your hips and waist. Your surgeon will be able to guide you in this decision.
The risks of the procedure include bleeding, infection, bruising, poor scarring, pain, swelling, and changes to nipple and areola sensation, and rarely, partial or total nipple loss. The recovery time is usually a couple weeks if all goes well. In general, however, breast reduction patients are some of the most satisfied and grateful plastic surgery patients. This is truly a life-changing procedure. In my area, the cost ranges from 6700-8500. Best of luck!

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 34 reviews

Weight loss influences breast size to a certain extent

There is definitely a component of breast size that is due to fat volume. Everyone is different and some women tend to gain or lose weight more in their breasts than others. If you have lost weight in your breasts in the past, you are likely one of those people. Although, the extent of your breast size in respect to your height, weight and goal size are unlikely to allow you to arrive at the ideal size breasts with weight loss alone. You may consider weight loss to a more ideal Body Mass Index and then being assessed by a plastic surgeon regarding your candidacy for breast reduction surgery. 

Rachel Streu, MD
Portland Plastic Surgeon
5.0 out of 5 stars 9 reviews

Can I Lose Weight to Get Smaller Breasts?

Being as petite as you are and with such disproportionately large breasts, it is unlikely that weight loss will make enough of a difference for you. I advise that you consult with a plastic surgeon about having a breast reduction. This surgery can make a tremendous difference in improving your quality of life. 

Orna Fisher, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 8 reviews

Weight loss and breast reduction

You may be able to reduce the size of your breasts with diet and exercise, however it is very difficult to spot reduce fat. You may want to consider breast reduction surgery if you get down to a lower weight but still have large breasts.

Correlation between weight reduction and breast size

Every woman with large breasts has a different correlation between weight reduction and breast size “response”. However, if your breasts reduce significantly in response to weight loss there is a possibility that they will also sag significantly as a result

Fred Suess, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 6 reviews

Weight loss and Breast size

Based on your height, current weight, and the size of your breasts, it is unlikely that weight loss alone will achieve the results you want. Consult with 3 board certified plastic surgeon to understand your options.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 27 reviews

Breast Reduction Necessary

Based on the size of your breasts, it is unlikely that weight loss will significantly reduce the breast.  A breast reduction operation will address all of your concerns and should make your daily life much more comfortable.

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.