Advice for Sagging Breasts After Weight Loss?
- Asked by Stacey2124
- 3 years ago
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?
As you can see from the other answers this is not as straight forward as you would think. The most conservative approach would be a two stage operation with a lift in the first operation, wait 3 months and than adding an implant to the desired volume
Breast Lift after Weight Loss
If you are happy with your current volume, but simply want the volume back where it used to be, you may be an excellent candidate for a breast lift with auto-augmentation.
This is my primary method of breast lift in patients who do not require a breast implant. This will provide natural results with suture resuspension of the breast tissue to the upper pole producing fullness/cleavage without tension on your skin. This will minimize stretching of the skin longterm.
Also, by avoiding the long horizontal scar, you will be able to show cleavage without visible scars and where swimsuits and bras that easily camouflage all your scars.
This allows for a long lasting result because the breast tissue itself has been lifted, not just the surrounding skin.
I wish you a safe recovery and fabulous result!
Web reference: http://www.drpaulgill.com
Breast sagging after weight loss
There are many different types of breast lift and each one is designed to take care of increasing degrees of breast sagging or ptosis. Unfortunately there are no short cuts with breast lift surgery. Many times the patients would prefer a lift with less incisions but it is not always possible. A plastic surgeon will be able to examine you and select the correct operation to meet your expectations. In you case with the amount of breast tissue below the inframammary crease you will need at least a vertical mastopexy and possibly an anchor type. This will give you the beast result.
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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 all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage.
The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for revisionary surgery is increase with breast augmentation / mastopexy surgery done at the same time.
In my opinion, the decision to do the operation in a single or two staged fashion becomes a judgment call made by a surgeon after direct examination of the patient. For me, if I see a patient who needs a great degree of lifting, who has lost a lot of skin elasticity, or whose goal is a very large augmentation then I think it is best to do the procedures in 2 stages (in order to avoid serious complications). However, doing the procedure one stage does increase the risks of complications in general and the potential need for further surgery. This increased risk must be weighed against the practical benefits of a single stage procedure (which most patients would prefer).
Conversely, if I see a patient who requires minimal to moderate lifting along with a small to moderate size augmentation (and has good skin quality), then doing the procedure one stage is much safer. Nevertheless, the potential risks are greater with a 1 stage procedure and the patient does have a higher likelihood of needing revisionary surgery.
I hope this helps.
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.
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 your lift. If you only tighten skin and remove no tissue you'll still have lots of weight that will re-stretch the skin over next few years. Talk with a plastic surgeon who can examine you in person and make suggestions based on your specific anatomy.
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 breast with the same incisions as a breast lift, as well reshaping and lightening the breast by removing breast tissue. I would recommend consulting with a plastic surgeon for this and consider to be at a stable weight which is realistic for about 3 months.
I hope this helps.
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 breast tissue it gives a lifted, youthful appearance to the breast. I understand you wishing to keep the size you have but the skin of your breasts likely does not have the strength and elasticity to hold up larger/heavier breasts and you may experiance some post operative sagging. This can be made even worse by adding an implant. Sometimes some sculpting of the breast tissue not only helps to improve the shape but also reduce the weight so the results are better. Have a long consultation with your plastic surgeon about the best options.
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.
Tal Raine MD
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 is if, in the upper superior pole of the breast, which will supply your cleavage there is a nice pinchable mantle of breast tissue. In that case a mastopexy alone will be sufficient. Unfortunately this is not usually the situation and a prosthesis of appropriate size is used to create this area of needed fill. The more ptotic (droopy) the breast the more difficult it is to achieve cleavage without the use of a prosthesis. Depending on the amount of loose skin you will need either a traditional inverted T mastopexy or a vertical (in milder cases.)
Web reference: http://www.delucaplasticsurgery.com/breast-lift-albany-ny/
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.