Breast implants after weight loss - what happens with the skin?

Congratulations on the weight loss! It is difficult to answer your question with out photos or an in person assessment. With that amount of weight loss, you would probably benefit from a breast augmentation with a lift. I would recommend scheduling a consultation with a board certified plastic surgeon to discuss your options. I have attached a video to help answer some of your questions.

Dear Reliable514267,
if your breasts are deflated then you will probably need a breast lift. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on the weight loss! Excess skin is removed with a lift. You might possibly need the lift first and then have implants. Your surgeon can advise you which way is safer for you. Implants will give more volume. Most women still keep sensation, but there is a low risk to loosing some.

Great question. Most people need a breast lift as well as a breast implant after losing so much weight. The breast lift or mastopexy actually removes the excess skin and tightens the remaining skin around a breast implant. The nipple is moved upward on the chest but sensation should remain intact.

Hello and thanks for your question. The breast implant procedure will help you the get back to the volume. The detailed treatment plan can be provided after your pictures are assessed but according to the information that you provided, the breast uplift operation should be performed because you have lost 280 pounds and loosing that much weight cause sagging skin on the breast area. Breast implant operation doesn't have any effect on the sensation of the nipples. You can have the detailed information about your treatment plan after the in-person consultation.