Sagging, Uneven Breasts After Weight Loss - Surgical Options?

Hi,

Congratulations on your weight loss!!

There is a new procedure called the Ultimate Breast Lift that provides upper pole fullness without implants and with the added benefit of NO VERTICAL SCAR. It was developed after it was noted that women who had large implants to 'lift' their breasts were highly disappointed and unhappy.  The 1957 anchor technique and subsequent 'vertical lifts'  leave women equally dissatisfied and unhappy. The Ultimate Breast Lift  is an extremely complex technique using engineering principles which require extensive knowledge in mathematics to perform. Breasts look natural and because the scars are well hidden, there are no issues with scarring. It's worth looking into.

Best wishes,

Dr. H

An ideal #candidate for a #BreastLift (#Mastopexy) surgery are women who have #sagging breasts due to past pregnancies and #breastfeeding; both which increase breast #ptosis. Also, when many women lose #weight, their breasts lose weight as well. There may also be some sagging of their breasts due to the weight change. These women are potential candidates for a breast lift. A #mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. Those with breast #sagging or #ptosis experience improvements with the surgery. Also, the procedure can also be combined with a minor breast reduction to reduce the breast width if desired as well. It's during this procedure, the nipple and areolae can be corrected, if necessary, to the desired size and at the correct height.Those with #uneven or #asymmetrical breasts are candidates for #BreastLifts. They are among a category of candidates with #DevelopmentalBreastProblems. This includes women with one breast is lower than the other, those with tuberous breast deformity. Women with asymmetric or enlarged nipples or areolae (pigmented areas around nipples) also may be candidates for a breast lift or a modification of a lift. #Asymmetric breast can be adjusted by adding or removing volume. One side can be tightened more or less than another.I prefer the “lollipop” technique or “donut lift” to avoid more significant scarring, rather than the majority of surgeons in the United States that use an anchor pattern lift.Some patients will achieve a better result by increased the fullness often lost with child-bearing, with the addition of an #implant with the mastopexy, known as Augmentation Mastopexy. In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.  All in all, an elevated, more youthful breast can be a satisfying result for the patient.

You can try a short scar breast lift (scar around the areola and vertically down to the breast fold). That may be sufficient to lift your breasts and give you more upper pole fullness.

First, congratulations on your weight loss.  Also thanks for sending in photos.  It appears, (without a proper exam), that you would be a good candidate for a breast augmentation, (to achieve upper pole fullness), and a lift.  Please seek out a board certified plastic surgeon.

After weight loss, your breast skin just like skin in other areas of your body may not rebound as well, leaving you with areas of sagging. You have done great with the weight loss but your question is not uncommon: I have put in the effort with weight loss now what can I do with this new problem? Fortunately, with the breast the answer would be a breast lift which will reshape the breast and reposition the nipple combined with or a delayed insertion of a breast implant. Unfortunately a breast lift does entail scarring which, if performed correctly can be minimized. Avoid the periareolar lift and or the larger implant by some surgeons because you will end up exactly in the same position with enlarged areola. The implant will give you more breast volume in the upper part of the breast and breast lift will reshape the breast around the implant. 

I hope this helps.

Dr. Trussler

You need a mastopexy or breast lift. This procedure will even out your breasts and give you a youthful perky breast without the addition of an implant. Your size in the end would be the same size as the left one. Unfortunately, there is no other way to do this operation, raise the nipple and tighten the skin, without scars. If there were, we would be doing it that way!! The scars end up perfectly acceptable, they fade, and hide in bras and swimsuits. Most of us get saggy over time, and most women would rather have a perky, youthful shape that looks great in all types of clothing styles, instead of sagging breasts.

Congratulations on the weight loss. Don't despair over your breast appearance as there are many options to give you the results you want.

The choices you need to make are related to your breast volume. Which breast volume do you prefer? if you like the larger breast you will need volume augmentation of the opposite side. This is done with a breast implant. Recently fat transfer has been used to add breast volume and you are a candidate for this.

If you like the smaller volume breast a lift and lift plus reduction on the larger side will balance the breasts without volume augmentation.

Upper pole fullness can be improved with manipulation fo the breast during the lift but is achieved most reliably with implants.

The scar length willl also be dictated by the volume you choose. Generally speaking breasts scars heal well with the majority of the scar falling into cosmetically silent areas.

Seek out a board certified plastic surgeon to help you understand these options and help you chose how to best obtain them.

good luck

Based on your pictures, it appears that you would benefit from a mastopexy / breast lift.  There is no way to achieve a lift without making incisions.  However, the very thin scars are a small price to pay for a dramatic improvement to the shape of your breasts.  

Hi there-

Congratulations on your weight loss...

With regard to the shape, size, and position of your breasts, I think you have several good options... Unfortunately all will require surgery, and therefore scars, but while the creation of these scars is necessary, the scars being unsightly or conspicuous is not.

Because having more fulness in the upper portions of the breasts seems to be a high priority for you, the best options are going to involve an implant. If upper pole fulness is less important and you would like to avoid an implant, reshaping of the breasts with reduction of the larger side may also be reasonable to consider.

The most important thing is to think carefully about your goals, and concentrate your energies on finding the right surgeon to keep you safe and help you achieve your goals.

My opinion is that it is a mistake for you to spend time and energy identifying the procedure you think you want and then shopping for a surgeon who will perform it for you.

Find your surgeon first. Do your homework and be confident you chose them for the right reasons (see below). Then trust them to responsibly educate you and help you make the choices that are best for you.

Here is some sound advice on how to go about finding a surgeon you like and can trust:

You have multiple issues which each require an different approach: 1) asymmetry 2) ptosis (sag) and 3) upper pole fullness. Asymmetry can be improved with liposuction as the least scarring procedure. Ptosis will require surgical repair and the incisions should be discussed in consultation with the plastic surgeon. The upper pole fullness is best treated with a small subglandular implant but the risks of this should be reviewed with a surgeon. There are complex issues here and I have a four part video series that reviews some of these options.