Should I loose or maintain my weight until I can move forward with a breast augmentation?

Question

I have an hourglass body figure, but would like more body weight in my breasts; they’ve always been smaller and it would even out my frame / build. However, I don’t have money for this kind of procedure. Should I go ahead and lose the weight (10-12 pounds) or should I maintain the weight until I am able to do the procedure? My main concern is that if I lose the weight and regain it in a few years, it might re-distribute to areas that I would not perfer. I’m 5’ 7’’ and 130 pounds.

Brian K. Reedy, MD · Answer

Thanks for your question! You should be at your normal, sustainable weight for breast augmentation surgery. Whatever the norm is for you, try to be as close to that as possible. Good luck!

Randal Haworth, MD, FACS · Answer

If you are considering breast augmentation surgery, it is generally recommended that you wait until you are at a stable weight before undergoing the procedure. This can help to ensure that your results are more predictable and long-lasting.

If you are planning to lose weight, it may be best to do so before undergoing breast augmentation. This can help to ensure that your surgeon has a clear idea of your body proportions and can choose the most appropriate implant size and placement to achieve your desired results.

It is also important to keep in mind that weight loss can sometimes affect breast size and shape, as well as overall body composition. However, this can vary from person to person and is influenced by factors such as genetics and lifestyle habits.

If you are concerned about the potential for weight gain in other areas of your body, it may be helpful to work with a nutritionist or personal trainer to develop a healthy and sustainable weight loss plan that focuses on maintaining muscle mass and optimizing body composition.

Ultimately, the decision to undergo breast augmentation is a personal one, and you should carefully consider your own needs and concerns before making a final decision. It may be helpful to consult with a board-certified plastic surgeon to discuss your options and develop a treatment plan that is tailored to your individual goals and needs.

Steven Sigalove, MD FACS · Answer

Whenever undergoing body contouring surgery, whether it is a breast augmentation, a mastopexy, or an abdominoplasty, it is important that your weight be stable at the time of surgery. I would get to within 5 pounds of your goal weight and maintain that weight for several months before having surgery. The reason for this is that any significant weight loss or gain postoperatively will result in aesthetic changes of your breasts. For example, should you lose a significant amount of weight after a breast aug, your breasts will drop which might require a mastopexy. The key with weight loss and surgery is that it is done prior to surgery and that it can be maintained after surgery to maximize your aesthetic result.

Robert M. Wald, Jr., MD · Answer

Ideally, it's best to be at your normal body weight. The implants will push out your existing tissue and be the size you want. If you gain weight, the breasts may become slightly bigger and slightly smaller if you loose weight. This is due to fat gain or loss in the breast. Unfortunately, as life progresses, your body will change.

Zoran Potparic, MD · Answer

There is no guarantee that weight gain would enlarge your breast? In your case it would be best to wait until you can afford breast augmentation with implants. Good luck.

Daniel Barrett, MD · Answer

Dear alian200,
generally speaking, you want to reach your goal weight before you consider surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jeffrey S. Yager, MD · Answer

You have a fixed number of fat cells in your body based on your genetics and hormonal influence, Unfortunately, you cannot choose where your weight loss comes from. Abdominal crunches do not burn abdominal fat more than any other fat. All of the fat cells grow and shrink at the same rate. Because of this, you will likely have the same proportions , only all will be smaller. My advice is to be your happy weight and save for the procedure.

Connie Hiers, MD, FACS · Answer

Go ahead and loose the weight now for it does get harder as you get older. A ten-pound weight change usually does not have a big effect on your breast size.

Camille Cash, MD · Answer

It is best to have surgery when you are at a healthy body weight that you are able to maintain.  Based on the information you provided you are fine to proceed with surgery at your current weight.  The next step is to visit with a board certified plastic surgeon near you for a consultation.

Ahmad H. Ahmadi, MD · Answer

It is always advisable to perform cosmetic plastic surgery when your weight is stable.  Weigh fluctuations after surgery can negatively impact your result.  For example, you may choose an implant size based on your weight of 130 lbs. but after losing 10 lbs. the same implant may look too large on you.

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