Full and Perky Breasts After Breast Reduction?

Question

I am going to have a breast reduction and want them to look full or perky. I am wondering if during a breast reduction, anything can be done to maintain or increase fullness post surgery.I have had two children and nursed both so now have very large breasts. I am afraid that after a breast reduction I will have smaller breast but that they will look less full.  Also I am overweight and am concerned about the look of my breasts after the reduction, if I lose more weight.

Jed H. Horowitz, MD, FACS · Answer

breast reduction : full and perkyFunctional symptoms
(medical problems) caused by excessive #breastweight may be relieved or
improved by this operation. #Mammoplasty patients will experience a more
attractive contour and smaller breast size, freedom from health problems
associated with excessively large breasts and improved self image.Adding a small implant or fat grafting may make the breast more perky

Richard J. Bruneteau, MD · Answer

When women with
breast hypertrophy undergo breast reduction surgery they typically have
multiple goals. These women are not only interested in reduction of their
symptoms, but are also concerned about breast aesthetics.

In the vast majority
of patients who undergo breast reduction, the aesthetic results are excellent.
The procedure reduces breast size, reduces areola size and lifts the breast
into normal position. In most patients, this results in alleviation of symptoms
and improved breast aesthetics.

Most patients are
happy with their upper breast fullness following breast reduction surgery, but
over the course of time, some patients note loss of fullness in this area.
Under these circumstances, placement of a breast implant may be necessary to
correct this problem.

Based on your
history, I would recommend a breast reduction without breast implants. In most
cases, this would give an excellent aesthetic result with your upper breast
fullness. If inadequate upper breast fullness becomes a problem, a secondary
breast augmentation can be performed at a later date.

Paul Vitenas, Jr., MD · Answer

The size and shape of the breasts after a breast reduction depend upon the technique used and the amount taken and to a certain extent the overall size of the patient. In addition, once the procedure has been performed the shape may change if the patient has a fluctuation in weight.

Otto Joseph Placik, MD · Answer

It is impossible to predict the appearance of your breasts with weight loss. When planning any cosmetic surgery procedurel, it is best to be at a STABLE WEIGHT. IF you proceed with teh reduction now, you may need an implant or lift at a later date., The first patient in the video below shows one example of a young individual who underwent a breast reduction and subsequently lost weight necessitating a breast implant to achieve upper breast fullness.

Tom J. Pousti, MD · Answer

Thank you for the question and picture.

	As you have discussed,  it will be in your best interest to achieve a long-term stable weight prior to undergoing breast reduction surgery. This operation will serve to remove excess skin, adipose tissue, and breast tissue. The breasts will be sitting higher on the chest wall.

	Several months after the breast reduction surgery you will be able to evaluate the results of surgery and  determine if breast implants are of interest  to you (to increase upper hole breast volume/fullness).

	Best wishes.

Michael D. Yates, MD · Answer

Most plastic surgeons would advise you to be closer to your desired weight before having breast reduction. Certainly, if you lose a significant amount of weight after breast reduction, your breasts may end up being too small and some of the lift will be lost. Most breast reduction techniques shift tissue superiorly to try to achieve fullness in the upper aspects of the breasts, but it is hard to maintain a "perky" look, and some settling always occurs. If you can't lose weight, and wish to proceed with breast reduction, then your surgeon will keep your breasts fuller to achieve a balanced contour.

Darryl J. Blinski, MD · Answer

Loss the weight FIRST! Than consider the reduction.But remember a Plastic surgeon can NEVER guarrente the "perky" postoperative breasts. Some do, some don't. Best of luck.

Steven Wallach, MD · Answer

A good Breast Reduction will easily leave you with a full cup. However, if you go on to lose significant weight after surgery, then your breasts will most certainly deflate a bit. Lose the weight first, then have the reduction if possible.

Robin T.W. Yuan, MD · Answer

If you are contemplating losing weight to a significant degree, I would recommend waiting until you achieve your target weight and are able to maintain it for 6 months. This will ensure that your breast reduction result will be predictable and stable. Depending on what your breasts look like at the time of surgery, I wthink you should be able to maintain fullness with the appropriate procedure. Describe exactly what you want to your surgeon so he can tailor the procedure to your goals.

Tracy Pfeifer, MD · Answer

Superior pedicle techniques are usually better at maintaining upper pole fullness. You can discuss this with your plastic surgeon. If you lose weight now, do your breasts become smaller? 
If not, this should not change much after surgery. It is important to remember that even though the breasts will weigh less, they do not weigh zero. Gravity will still exert its effect and the breasts will sag over time, although not as much as they do now. 
Also, as we age, the elasticity in our skin is less. Therefore, our skin will stretch and we become less perky.  As about superior pedicle technique. This will help the most. Good luck.

Full and Perky Breasts After Breast Reduction?

Answers (14)

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