Will losing body fat before a Breast Lift with implants affect my results?

Question

I am currently losing body fat and would like to know if it is ok to continue losing weight before I get a breast lift. I’m scared the more weight loss and more droopyness on my breast will affect my results, I just want the best results as possible.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding breast size and losing weight. Most of the female breast is composed of fat. When you lose weight you lose fat and you lose fat in the breast so further weight loss can lead to smaller breast. If you’re overly concerned about the size of your breast, do not continue to lose weight. However all in all I would suggest you should try to achieve an ideal bodyweight. Not knowing your current height and weight I cannot estimate your ideal body weight. However, with almost whatever weight you lose and whatever size and shape of your breast, usually the size can be corrected with an appropriate breast implant. All in all I would suggest you come down to a healthy weight and once this weight is achieved, I would then suggest you proceed with your breast augmentation and lift. I hope this helps answer your question.

Sincerely, Dr. Katzen

(“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Sincerely, Dr. Katzen

(“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Kenneth Hughes, MD · Answer

It is a good idea to wait for your breast lift until you’re at a stable weight. Losing and gaining weight can undo your breast lift results.
A breast lift would reshape the tissue with skin tightening. The goal of the breast lift procedure is to restore a woman’s perky natural contours with minimal post-surgical marks and through using state-of-the-art techniques. The board certified plastic surgeon you select should be so skilled at breast lifts that the smallest scar will be utilized to achieve optimal shape. An in-office examination by a board certified plastic surgeon would be necessary .

Leila Kasrai, MD, FRCSC · Answer

While there is no guarantee, weight loss after a breast lift augmentation does tend to negatively impact the results. For this reason, it’s best to be at your ideal stable weight before proceeding with surgery.

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. You should first complete your weight loss and achieve your goal weight, for optimal short and long term results. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size. However, there are 2 components to the breast: parenchyma and breast fat. If you lose body fat you will lose breast fat as well. It depends on where you begin and end to determine whether it will be significant or not. The technique I recommend is The Bellesoma Method. 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ted Eisenberg, DO, FACOS, FAACS · Answer

You are right. Significant weight change of 10% or more can affect your final surgical result. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gerald Minniti, MD, FACS · Answer

It's a good idea to get to the best, most sustainable weight you can prior to surgery. It will not affect the results, and if anything, lower your risk of complications. You do not provide photos so it's hard to be specific to your situation.

Daniel Barrett, MD · Answer

Dear valory_h,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Scott W. Vann, MD, FACS · Answer

Small changes in weight have minimal effect on a breast lift. If you are losing significant weight, then I would wait till weight loss completed since this can increase the amount of excess breast skin. This excess skin can then be removed at the time of the surgery. The best time to have most cosmetic  surgery is when you are at a weight you plan to maintain long term. Good luck.

Connie Hiers, MD, FACS · Answer

Loose all the weight you want to first, and then have the breast lift and augmentation. More weight loss may give more loose skin.

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