Ask a doctor

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 20

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. 

Have a question? Ask a doctor

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
Ann Arbor Plastic Surgeon
5.0 out of 5 stars 6 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 7 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 21 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.

Weight loss and breast size

It is possible that weight loss will change your breast size somewhat ( depending on how much weight you lose and what percentage of your breast is fatty). However--- with your current size, I doubt you will lose enough weight to get you to a point where you don't feel like you need a breast reduction. Keep in mind that the weight loss will also reduce the rest of your body and so the proportions will stay the same.. I suspect you will ultimately want a breast reduction and that will make a substantial change in your back , shoulder, neck pain and allow you to exercise more easily..

G. Wesley Price, MD
Chevy Chase Plastic Surgeon
5.0 out of 5 stars 4 reviews

Lose weight to get smaller breasts?

It is difficult to answer your question without examining you and knowing how dense or how fatty your breasts are.  However, breast size typically don't change significantly with with moderate weight loss and are likely to still have a saggy shape leading to continued heaviness and pull on your back, neck and shoulders. You sound like a good candidate for a breast reduction procedure. Best to see a board certified plastic surgeon in your area to have a detailed consultation on the procedure and  best recommendations to get the results you desire. 

Marialyn Sardo, MD
La Jolla Plastic Surgeon
5.0 out of 5 stars 3 reviews

It May Take Significant Weight Loss to Notice Changes in Breast Size

There’s no question that breast size fluctuates with changes in body weight.  Unfortunately, it takes a significant weight loss to see noticeable changes in breast size.  Although there’s no doubt that weight loss would provide health benefits for you, it would most likely not affect your breast size in a significant way.
When breast volume actually decreases following generalized weight loss, it’s not unusual to develop associated breast sag.  The vast majority of patients considers this an unsatisfactory outcome and often desire breast lift surgery to correct this problem.
In most cases of severe breast hypertrophy, breast reduction surgery is necessary to correct the problem.  This procedure not only reduces breast size, but also lifts the breast into normal position and reduces areola size.  It improves symptoms associated with breast enlargement and improves quality of life.
Your history suggests that breast reduction should definitely be a consideration.  You have classic symptoms including back, neck and shoulder pain.  You also have decreased exercise tolerance which might be the cause of our weight gain.  Finally, it’s starting to affect your psychological well being.  Consultation with a board certified plastic surgeon might be time well spent, and a good investment in your future.

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.