Tuberous breasts and weight loss sagging - would a breast lift give perky breasts? (Photo)

Question

Would a breast lift alone be enough to have "perky" breasts. And would the surgery be recommended if there are more plans for child birth? 21YO, No children but went through a almost 60 lbs weightloss. Nipples are fully downward and only their upper segment of areola is showing when standing, DDD cup and bad back pain. Still some volume is there but the direction of the breast is abnormal in my opinion.

Andrew Smith, MD, FACS · Answer

First congrats on the weightloss that is amazing, beyond the cosmetic result you are healthier! In terms of breast ptosis you are a great candidate for a breast lift. A wise pattern mastopexy (anchor pattern) would help address the nipple position and reposition your tissue. However what a breast lift will not do is provide a dramatic change in the upper pole of the breasts, the area above your nipples. While you may notice a nice change in the overall shape of the breasts and nipple position from a mastopexy alone an implant often gives that "perky" apperance. If you plan to have more children in the near future I would focus on that first. First, congratulations on your weight loss—that’s a tremendous accomplishment. Beyond the cosmetic changes, you’ve made a meaningful investment in your overall health, which is the most important outcome.

Based on your photos, you are an excellent candidate for a breast lift. A Wise-pattern mastopexy (anchor technique) would allow us to reposition the nipple and reshape the existing breast tissue to create a more youthful contour.

It’s important to understand, however, what a lift alone can and cannot achieve. While it will significantly improve breast shape and nipple position, it does not typically create a dramatic increase in upper pole fullness—the area above the nipple. If your goal includes a fuller, more “perky” appearance in that region, an implant is often recommended in combination with the lift.

If you are planning to have more children in the near future, I would advise focusing on that first, as pregnancy can impact your surgical results.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From the photo it appears you would be a good candidate for a breast lift.  This would remove excess skin and raise the position of the nipple giving you a lifted look.  You could consider auto augmentation to create more upper pole fullness.  This approach can be done in conjunction with a lift and uses your own tissue to create volume at the top of the breast.  It is not a fat transfer.  I've included a video on this that I hope you find helpful.

Tuberous breasts and weight loss sagging - would a breast lift give perky breasts? (Photo)

Answers (2)

More Breast Lift Questions

What grade ptosis and what procedure is recommended? (Photos)

Am I a candidate for a breast lift? Would I be able to have a crescent or donut lift? (Photo)

Breast lift vs lift with implants - how can I achieve perky results with upper pole fullness?

Will a breast lift and tummy tuck fix the breast sagging and stomach rippling? (Photos)

38, no children. Would a breast lift only provide the results I am looking for? (Photos)

Do I need a lift or would implants alone be okay? (Photo)

WE SEND PRETTY
EMAILS