40 pounds away from goal weight - Will my breasts sag again if I lose weight after I get a breast reduction and lift?

I counsel my patients they will have the best results if they can be as close as possible to their ideal weight prior to surgery. Weight gain or loss will change results.

Hello,
And thank you for the question.
I always encourage my patients to be at their optimal weight prior to surgery, but sometimes, if they hit a plateau, especially if heavy breasts/pain interfere with exercising, we still proceed with surgery understanding that the risk of complications is higher with higher BMI.
If you were to lose 30-40 lbs after the surgery, it may change the breast shape.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Hi and welcome to our forum!
The breast is composed of glandular tissue and fat. Weight loss will result in reduction of the breast fat but the skin envelope will not shrink, resulting in recurrent breast sag. In our practice, we recommend that the patient be within 15 pounds of their desired body weight before undergoing the procedure. Earlier surgery can be performed if necessary for unrelenting pain, but a later secondary breast lift will most likely be required.
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...