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Advice for Sagging Breasts After Weight Loss?

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?

Doctor Answers 31

Breast Surgery after Weight Loss

There are multiple techniques to achieve excellent breast results after weight loss. From the surgical standpoint, the best option for rejuvenating the breasts after losing weight are either a breast augmentation and/or a breast lift. Sometime a combination of the two procedures will provide the best results possible. As long as you are willing to have a scar, you can anticipate lifted, perkier and larger breasts. Depending on your anatomy, the type of scar can vary. Sometimes, a circular scar around the areola will be sufficient, other times a keyhole of lollipop type or anchor scar may be needed. Hope that helps!

Sincerely,
Joshua Kreithen, M.D.
Sarasota, FL


Sarasota Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast Surgery Following Weight Loss

         Massive weight loss of more then 100 lbs can significantly affect a women’s body. Weight loss of this magnitude can cause loose saggy skin in multiple anatomic areas. It’s not unusual for women to lose breast volume and develop breast sag, when this type of weight loss occurs. For this reason, they frequently request breast lift and breast augmentation surgery.

 

         Without pictures and a physical exam it’s hard to know what option is best for you. The majority of patients want restoration of breast volume, correction of breast sag, upper breast fullness and symmetry. The majority of patients require a keyhole mastopexy. In some cases a breast implant is necessary to create upper breast fullness and restore breast volume.

 

         Breast implants can be placed at the time of the breast lift or delayed and performed as a secondary procedure. Both approaches have advantages and disadvantages and many surgeons have strong opinions about this topic.

 

         When both procedures are performed together, revisions are frequently necessary. For this reason, some surgeons feel that staging the procedure is appropriate. Advocates for a combined procedure feel that this approach saves the majority of patients a secondary procedure. They don’t view a secondary procedure as a complication but instead as a necessary next step.

 

         It’s appropriate to individualize care for each patient. In some patients, a combined procedure is indicated while in others a staged approach is necessary.

 

         If your considering breast augmentation and breast lift following massive weight loss, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to help you formulate a treatment plan that will meet your needs. 

Sagging Breast after Weight Loss

Mastopexy is a procedure to move the nipple areola to a normal position, reduce the areolar size to a youthful diameter, remove and even up sagging tissue, and create a fuller more youthful shape to the breast mound. it can often be done without an implant as long as you understand that you will be slightly smaller after the surgery and not have as much cleavage and upper pole fullness as women that choose an implant. Look at lots of picture of before/after of women with and without implants and decide what is right for you. Good Luck!!

Brian Reedy, MD
Reading Plastic Surgeon
5.0 out of 5 stars 84 reviews

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Breast lifting after weight loss

Weight loss can have a dramatic impact on your entire body, and the breasts are no exception to this.  In many cases a properly executed breast lift is able to remove excess skin and reshape the breast to achieve a more desirable appearance.  In some cases implants can be used as well to achieve the desired shape.  Each patient's goals and anatomy differ, so discussing this with your surgeon is your best place to start.  

Advice for sagging breasts after weight loss?

Most women after a significant amount of weight loss, will need a mastopexy and breast implants to restore the volume and upper pole of the breasts. Consult with a Board Certified Plastic Surgeon to determine what is  best for you.

Donna Rich, MD
Houston Plastic Surgeon
4.5 out of 5 stars 23 reviews

Breast Lift Will Give You a Nice Outcome

Breast lift surgery will use the volume that you already have and reposition it higher, perkier, and tighter on your chest. Weight loss results in excess skin, which must be removed by lifting the breasts to give you the right shape!

Sagging breasts after weight loss

Your situation is very common.  While it is similar in many ways to what happens to many women after several children and breast feeding there are some unique elements about weight loss that you need to consider.

Essentially you need to address both the SHAPE and the VOLUME of your breasts

Shape means a lift.  Given the amount of weight you have lost you will likely need an anchor lift.  Volume means adding an implant either saline or silicone

Now since you have lost a lot of weight you must be careful not to go too big as your skins elastisity will never be the same and while it will look good for a short time it may sag again.  Addtionally your surgeon must be careful not to be too aggressive with creating your pocket because weightloss patients are at risk for malposition of the implant....meaning it sits in the wrong location.

Hope that helps

Dr Rahban

Rady Rahban, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 53 reviews

Breast lift after weight loss?

Almost all female patients will benefit from a breast lift after losing 100 lbs or more.  If you are a DDD-cup size, you will also benefit from a breast reduction.  Your insurance may cover a portion of the cost of surgery.

David Stoker, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 27 reviews

Breast Surgery Following Weight Loss

Many patients present with sagging breasts which have lost volume following significant weight loss. Normally, the problem is a combination of loose sagging skin and diminished breast volume. In this situation, it is often necessary to perform a breast lift and a breast augmentation. Performance of a breast lift and breast augmentation at the same time is one of the more challenging procedures routinely performed by a plastic surgeon. In this situation, many different components of the breasts are changing at the same time. The size and shape of the breast is changing and the position of the nipple is changing. There is often some degree of preoperative unevenness or asymmetry creating more challenges during the course of this operation. Even though breast augmentation and breast lift surgery are performed at the same time, it should always be considered as two separate operations. Sometimes after healing has occurred, some residual asymmetry unevenness may be noted requiring a second operation to achieve the optimal result. Most often when augmentation and breast lift surgery are performed together, a second operation is not required. In the event however, that the second operation is required, it should not be interpreted as a failure of the first operation.

Some patients may elect to separate these two procedures from the beginning. If the breast lift is the most important of the two procedures then it can be done first. After adequate healing, a patient may return for placement of a breast implant to help restore volume.

Some patients have sufficient breast tissue to satisfy their postoperative goals. In this case, a breast lift in conjunction with redistribution of the breast tissue can lead to a satisfactory result.

It is very important if you are considering this type of surgery that you consult with a well-trained plastic surgeon experienced in all forms of breast surgery.

John J. Edney, MD
Omaha Plastic Surgeon
4.5 out of 5 stars 76 reviews

BREAST SURGERY

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

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.