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Advice for Sagging Breasts After Weight Loss?

asked 1 year ago by Stacey2124
Latest answer by Tom J. Pousti, MD
Question viewed 1,631 times
Tags: age 25-34, sagging, weight loss, DDD cup, loose skin

I am 29 and have recently lost 100 lbs. I have always had large breasts (46 DDD) now that I have lost the weight I feel so insecure, my chest is saggy and looks like giant rasins. I have always loved my large chest. Now I wear a 38 DDD, the cup size didn't go down, but my skin is just loose and gross. I still want very large brests. The rest of my body is responding nicely to all my working out. I want to be excited about my weight loss. Do you have advice?

19 answers to Advice for Sagging Breasts After Weight Loss?

Breast augmentation and mastopexy?

Congratulations on your weight loss- you should be very proud of what you are accomplishing. Given the information that you have provided and the goals of treating “sagging breasts” and wanting “very large breasts” it may be it in your best interest to do the breast augmentation/mastopexy in a two-stage fashion. Whether to do the breast augmentation/mastopexy in a single stage or II staged manner is not a question agreed-upon by... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast lift and implants (augmentation mastopexy) following massive weight loss

In Instances like this I often advise a two stage approach for several reasons but primarily because: 1) you are at a high rate for revisionary surgery and 2) the blood supply to the nipple is compromised by the very long and thin stalk of tissue providing vascularity. An implant placed at the same time could further compromise this delicate supply. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Sagging Breasts After Weight Loss

I see many patients that have diminished skin elasticity in the breasts while other areas of their bodies have good elasticity. In my experience, this tends to be genetic and also probably related to your weight loss. In the end the stretched out skin needs to be reduced with perhaps a majority of your breast tissue preserved which should lift your breast and make you slightly smaller but maintain some of the volume. Frequently a C cup can be attained which will give some longevity to... more

Deason Dunagan, MD
Huntsville Plastic Surgeon

Getting the Sag out of the Breast: Breast Lift after Weight Loss

Weight gain, pregnancy and genetics can all enlarge the size and weight of the breast. This places a tremendous amount of tension on the supportive tissues of the breast, including skin. When these stretch and fail, you are left with a sagging breast or breast ptosis coupled with things like stretch marks. After weight loss, these supportive structures sometimes do not bounce back. It sounds like you are large breasted, and what you should consider is a breast reduction which lifts the... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Keeping breast size and improving breast shape

I'm sure you feel like a differant person after your weight loss and to correct your breast problem you will need to understand some issues. You presently have a fixed amount of breast tissue in an envelope of skin which is too large, hangs down and is poorly shaped. To correct this the skin envelope needs to be made smaller by removing some of the skin, and when doing so reshaped, so that when the breast is repositioned on the chest and the skin is closed around the... more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Massive weight loss and breast restoration

First of all, congratulations. It takes a great deal of determination and discipline to lose all of that weight. It sounds like you will require a rather large implant and then a breast lift. I recommend under the muscle and a vertical lift. You may want to consider the so-called "mommy make-over". This is a breast and body procedure to rejuvenate you and give you an entirely new appearance. Best, Tal Raine MD

Talmage J. Raine, MD
Chicago Plastic Surgeon

Re: Sagging of breast after weightloss

With the amount of weight you have recently lost, even though you wear the same bra cup size, the amount of breast tissue will probably be significantly less than prior to your weight loss. If you pinch in all the loose skin, you will notice that the breast appears smaller than the sagging other side. Generally speaking it is difficult to get you back to your original breast size without the addition of an implant for superior fill. The best way to evaluate whether you will need an implant... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast sagging after weight loss

Severe sagging, and loose breast skin is very effectively treated with Breast Lift or Mastopexy. There are techniques to perform breast lift using your skin for volume, so cup size does not decrease significantly. I would recommend keeping it natural and using your own tissue for size and shape. After significant weight loss, the skin is loose and lax, and additional volume in the form of an implant is not always supported well. Recurrent sagging in keeping a very large... more

Hayley Brown MD
Henderson Plastic Surgeon

Breasts after weight loss

If you want large breasts after all the weght loss, you may need an implant along with a lift. You would need an exam to figure this out.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift after weight loss

Stacey, Congratulations on your weight loss. You will undoubtedly be a healthier person for it. We frequently perform breast lift surgery on patients that have had massive weight loss. A significant part of your continued DDD cup breast volume might be skin. Breast lifting removes skin, so you might expect a smaller cup size after a lift alone. You could always add volume in the form of an implant either at the same time as the lift or sometime after... more

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Breast Lift after weight loss

You have done a great job losing the weight. Don't get discouraged because there is a solution to help bring balance between the scale and the mirror. A breast lift is an operation designed to remove the excess skin and create a youthful appearing breast. There are many variations to this operation but the results can be outstanding. Since you have good volume, the breast can be manipulated to achieve the results you are interested in most likely without the use of a breast... more

Robert W. Kessler, MD
Orange County Plastic Surgeon

Breast lift does nicely after weight loss

After very significant weight loss the breast can suffer a deflated tone and significant sag or ptosis. It is not uncommon after the weight loss to still fill a DD cup, however the situation can seem hopeless without a bra to support and shape the breast. Skin excess is the issue, and the breast can be corrected with a breast lift or mastopexy. The full lift or inverted 'T' pattern best reduces the skin excess after weight loss and can restore confidence both in and out of a bra... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Sagging Breasts After Weight Loss

Photos would have really helped but you did not post. My recommendation is a full mastopexy in the first operation. Than a possible implant for size. Seek in person evaluations.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift after weight loss

Patients that have lost a substantial amount of breast volume after weight loss generally need a breast lift to achieve an ideal breast shape and nipple position. The breast lift techniques for this subset of patients are a little different from 'standard' breast lift procedures. They specifically address the loss of upper pole breast volume that you might have. Additionally, they treat the sagging infra-mammary fold position and sagging tissues along the 'bra roll' region of... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Sagging Breasts after Weightloss

Congratulations on your weight loss - that is not easy to do. Anytime there is loss of volume (weight) the skin starts to sag. The only really option is to perform a breast lift. The volume of the breasts can remain the same. However, the volume is redistributed to give the breasts a more youthful shape. At the same time, the nipple and areola are raised to the normal position. I hope this is helpful. Good luck.

David Shafer, MD
New York Plastic Surgeon

Breast reconstruction after weight loss

Great achievement. First you have to be sure you can keep the weight off and maintain a new, healthy lifestyle. If you would like to be about the same size, there are a few factors to consider: size, contour, texture, use of implants, scars. You will need at least a lift of some sort. As the breast is lifted and the skin tightened, your texture will improve with a firmer breasts. As you increase firmness, the size will go down. In most severe cases that sound like yours, an implant of... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Sagging breasts after massive weight loss

Congratulations on the weight loss!! Your breasts can be dramatically improved with a lift and probably you will need implants for upper pole fullness. Please realize that this is not simple and that your skin elasticity will never be good and that the results aren't the same as a simple augmentation. With proper expectations, and an experienced excellent plastic surgeon, you can get a nice result.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift after massive weight loss

Hi Stacey 2124, Wonderful work on your weight loss. That is fantastic. Although you are DD cup size, you may be filling the cup with all the extra skin and may not have a lot of breast tissue. This can be determined during your examination. You will need at least a mastopexy (breast lift). Look for a plastic surgeon who does breast contouring after massive weight loss; the tissues are different after massive weight loss and a surgeon experienced with these... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Sagging breasts after weight loss

Congratulations on your weight loss! To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants... more