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?

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19 Doctor Answers | Asked by Stacey2124

Doctor Answers (19)
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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... more

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

33 reviews

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

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

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

18 reviews

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

5 reviews

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

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

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

12 reviews

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