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What is Wrong with my Breasts? What Would You, As a Plastic Surgeon Do to Them? (photo)

asked 4 months ago by Lennic in Cambridge
Latest answer by Robert Stroup, Jr., MD, FACS
Question viewed 362 times
Tags: asymmetry, weight loss, proportion, recommendation

Lost 75lbs recently and going to lose another 20 hopefully. My breasts have always been this shape, but obviously fuller. Would you give me an uplift as well as an augmentation to make them the same (they are disproportionate to my hips and thighs)?

21 answers to What is Wrong with my Breasts? What Would You, As a Plastic Surgeon Do to Them? (photo)

Breast lift and augmentation with asymmetry correction

I would consider a breast lift on each side once you reach a stable weight. If you are happy with your current size and don't want to go bigger, then I would discuss whether you want to achieve a closer size match in the two breast. Your right breast appears a little larger than the left in the photo. I would plan on removing a little more tissue on the right during the lift procedure. If you would like to increase the size of your breasts, then I would... more

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Breast surgery after weight loss

FIrst, congratulations on your weight loss! Second, you look much better than most patients who have lost that much weight! This is a good sign in terms of whether you will require mastopexy in addition to an augmentation. I recommend that you lose the additional weight and see a board certified plastic surgeon in consultation. Different sized implants can be used to improve the asymmetry between the breasts.

Robert L. Kraft, MD
New York Plastic Surgeon

Lift +/- implants

What would be best for you all depends on what your final goal is. If you don't mind about one half cup size volume asymmetry between the two breasts and the basic size is acceptable, then you can have the correct the sagging with a lift alone. However, you stated that your breast size is disproportionate to your hips and thighs. So, I would recommend bilateral breast lifts and augmentation with different size implants. Good luck loosing that last 20 lbs. more

Robert Stroup, Jr., MD, FACS
Cleveland Plastic Surgeon

advancedconcepts.net

Marked breast asymmetry after weight loss

I would agree with the assessment that you did quite well with your weight loss and your breasts are doing well, but you have marked asymmetry with both off-axis (pointing off to the side) and the right significantly larger than the left. The simplest solution assuming stable weight and accepting the axis and positioning of the breasts would be to augment the left only if it is nearly a cup size smaller. The next option would be to augment both with the forward projection larger by one or... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Enhancement after a Large Weight Loss

When people lose large amounts of weight their bodies often change in very different ways. There is usually a variable degree of breast sagging as well as a variable degree of breast volume loss and deflation. Such a pattern is visible in your photograph along with breast asymmetry. Depending on how large iu wish your breast to be you may benefit from bilateral breast lifts with or without breast augmentation.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Lift and an augmentation

Congratulations on your weight loss. While it is difficult to say what exactly you would need without a formal exam and better pictures, it looks like you may benefit from an augmentation and some form of lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breasts have dropped and lost volume after weight loss

Thank you for your question and the photos. From what you have shown, yes, you would benefit from a lift to get your breasts more uplifted and to correct the position of the nipples. If you want to be larger or have more upper breast volume then this can be done with the addition of implants as well. That's up to you and depends on what size you want to be when finished. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Dissatisfaction with breasts after weight loss.

First, congrats on the weight loss. Second, it seems like you have some droopiness to your breast after losing the weight and now you have extra skin. If you want them lifted, then breast lift alone will make you happy. In my experience, patients have also lost significant volume in their breasts and really will do better with a breast lift and augmentation.

Dustin L. Reid, MD
Austin Plastic Surgeon

www.restoraaustin.com

Breast augmentation +/- mastopexy

There are two components to each breast: skin and volume, and nice breasts derive from a proper balance between the two. Balance is important: balance between skin and volume; balance between left and right; balance top vs. bottom so clothes fit well off the rack without alterations and padded bras. Your surgeon should explain all of this in detail and you should be sure to review a complete and extensive portfolio of his/her pre- and post-op pictures so you can... more

Daniel Greenwald, MD
Tampa Plastic Surgeon

What's wrong with my breasts?

Congratulations on your weight loss. From your pictures, it looks like you a some droop (breast ptosis). If it bothers you, you could consider having a breast lift. If you wanted a larger, fuller & more rounded look to the breasts, you could consider having an implant, as well. But overall, there is nothing "wrong" with your breasts. All of these suggestions are "optional extras"! All the best,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

www.plasticsurgeryinflorida.com

Breast lift and augmentation

Thanks for your question. Congratulations on your weight loss. There is nothing wrong with your breasts. When your weight stabilizes I believe you could entertain a lift with or without implants. Make sure you see a board certified plastic surgeon.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Your breasts are normal (just asymmetric and somewhat droopy). Here is what to do.

Congratulations on your weight loss! Keep it up till you reach a stable healthy weight that you can maintain (which is critical for proper healing, and overall better for your health), and then evaluation (often free, as in our office) by an experienced, ABPS-certified plastic surgeon can tell you what kind of breast lift (if needed, as it appears it will), and the different implants that can be utilized to improved your symmetry. I don't believe I've seen one woman who has... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Possible solution for breast issue

Once you reach your ideal weight, I would recommend a full breast lift with or without implants, depending on what size you would like to ultimately be. Using implants would make achieving symmetry possible.

Donna Rich, MD
Houston Plastic Surgeon

Augmentation mastopexy after weight loss

You will do best with an augmentation, and a lift to shape and fill your breast after weight loss. The nipple needs movement up and in to center it on the breast, and implants will need to address asymmetry as well. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast Lift and Augmentation

Based on the pictures it appears that you could benefit from a breast augmentation (implants) and mastopexy (lift). The implants will help add volume and the lift will help with your shape. However, with just two limited pictures, it is impossible to give you more specific advice and I would suggest an in person consultation to go over all of your options. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Asymmetric Breasts

You would benefit greatly by having a breast lift with augmentation surgeries. The procedures will left the breasts and give you more asymmetry. You do have to decide if you will be comfortable with the scars that go with mastopexy surgery. Congratulations on your weight loss!

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Surgical Options for Asymmetric Breasts

From your photographs, it appears that you have obvious asymmetry, excessive droop and a nipple that is situated laterally on your chest (to the side). For the best results, you would need to have an augmenation (with different sized implants), a "vertical" breast lift on both sides to maintain symmetry and an effort at bringing the nipples more toward the middle. This is a challenging surgery and you should look to find a surgeon who has experience in this area. Best of... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

www.marinaesthetics.com

Breast Analysis

Your pictures show breast asymmetry with loss of volume and some ptosis or sag. Your right breast also appears to be more laterally positioned. You will benefit from a mastopexy with augmentation. You will likely require more lifting to your right breast due to the lower nipple position and extra ptosis on that side. I would caution you to not expect absolute symmetry of your breast. They can definitely be improved and made more symmetrical, but you probably... more

Donald Griffin, MD
Nashville Plastic Surgeon

Contemplating Breast Surgery

My first discussion with you would be: what are your goals? I would specifically want to know if you are looking for larger breasts, perkier breasts, or both. Once we have established your desire, then I can tailor my consultation to those goals. It appears that you do have some breast asymmetry that can be addressed during breast surgery. Additionally, you might benefit from breast lifting as well. I would encourage you to be at a stable weight so that any changes in your breast have... more

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon

www.gayosoplasticsurgery.com

Breast Augmentation/Mastopexy?

Thank you for the question and pictures. Congratulations on your accomplishments with weight loss and good luck with the additional 20 pounds. Examination at that time will be critical to help you choose the appropriate operation. Generally speaking, it is likely that you will benefit from breast augmentation and mastopexy surgery, especially on the right side which appears to be more ptopic than the left. It is possible to improve the breast symmetry with the use of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Irregular shaped breasts.

You appear to have different sized breasts, with the right breast being fuller looking in the picture. First of all, I would lose the weight that you intend to lose first, then have a proper evaluation by a Plastic Surgeon. You may require the use of two different sized implants as well as a breast lift bilaterally. This certainly be done with good results . If you have any suspicions about what should be done when you are ready to pursue this, get several opinions... more