5'2, 155 lbs., 70 pound weight loss. Should I get a breast lift or a reduction? (Photos)

Question

Hello I am 29 years old today. I am 5'2 155 lbs. and I had WLS in Nov of 2025 and lost 70 lbs. The fat my breast has disappeared. Should I get a breast reduction or a lift? Thank you,

Ted Eisenberg, DO, FACOS, FAACS · Answer

Questions to improve breast appearance:I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants if desired. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Serdar Bora Bayraktaroglu, MD · Answer

you need a breast lift (mastopexy) rather than a breast reduction. Because weight loss surgery causes breast volume and fat to disappear, leaving you with deflated tissue and stretched skin, a lift is necessary to reshape the remaining tissue and reposition your nipples. A reduction removes glandular tissue, which would only make deflated breasts smaller. Many patients choose to combine a breast lift with implants or fat transfer to restore lost fullness. Consult a board-certified plastic surgeon to determine the ideal approach for your specific anatomy and aesthetic goals.

Semih Yildiz, MD, FEBOPRAS · Answer

The photos show substantial breast ptosis, loose skin, asymmetry, and still a meaningful amount of breast tissue after weight loss. A lift and a reduction both reposition the nipple and tighten the skin; the difference is how much breast tissue is removed.

If you are comfortable with your current volume and mainly want the breasts higher and reshaped, a mastopexy may be appropriate. If you also want a smaller, lighter breast or have neck, back, shoulder, exercise, or skin-fold symptoms, a reduction with lift may better match the goal. Tissue can also be redistributed during a lift to improve shape, but photographs cannot determine the final cup size or the amount that should be removed.

Because your bariatric surgery was relatively recent, wait until your weight has reached its intended range and remained stable, often for at least several months. Nutritional status is also important for wound healing; your bariatric and surgical teams should review protein intake, blood count, iron, B12, folate, vitamin D, and other relevant deficiencies. With this degree of ptosis, an anchor-pattern scar may be needed. Meet with a board-certified plastic surgeon after weight stabilization and decide first whether your priority is preserving volume or becoming smaller.

Gary M. Horndeski, MD · Answer

You would benefit from a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

5'2, 155 lbs., 70 pound weight loss. Should I get a breast lift or a reduction? (Photos)

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