How to get my pre pregnancy breast back?

Question

i had a baby 18 months ago. i miss the fullness and upper fullness i had pre pregnancy. how to get it back?

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show breast droop/skin laxity and loss of upper-pole fullness after pregnancy, which is the type of change that a bra can improve temporarily but surgery corrects by reshaping the breast. If the main goal is to restore the breast higher on the chest and bring the nipple/areola to a better position, a breast lift is usually the key part of the plan.

If you also want more upper fullness than your current breast tissue can provide, a small to moderate implant can be added, or in selected patients fat transfer can soften the upper pole. If you already have enough overall volume and mainly dislike the sagging, a lift alone or a small reduction-lift may be better than adding an implant. The best choice depends on your breast measurements, skin quality, nipple position, desired size, and whether your weight and future pregnancy/breastfeeding plans are stable. An in-person consultation with a board-certified plastic surgeon can show you the tradeoff: lift alone improves shape and position, implants add volume but also weight and future maintenance.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Joe Gryskiewicz, MD, FACS · Answer

Hello, 
In a lot of circumstances a breast lift will not give you much round fullness up top. This is typically in situations where there is not a lot of breast tissue to lift which does not seem like that would be the case for you.  In the scenario that someone was lacking enough breast tissue, we would recommend putting an implant in to help give back the appearance of a nice rounded shape.  It looks as though you would be a good candidate for a lift or even some fat transfer to the top of the breast to create a fuller look.

Michelle Zweifler, MD · Answer

Patients often want to restore their pre-pregnancy breasts.  Options to improve upper pole fullness include breast lifts, breast implants, fat grafting to the breasts and combinations.  At times, off-label mesh may be used to help support the breast.

Camille Cash, MD · Answer

In order to get more upper pole fullness you may want to consider a lift with auto augmentation. This approach uses your own tissue to create more fullness at the top of the breast.  This is different than fat transfer.  I've included a video that I hope you find helpful.

James Knoetgen, III, MD · Answer

Restoring the fullness and upper volume of your breasts after pregnancy is a common goal for many new moms. Here are some options to help you regain your pre-pregnancy breast shape and fullness:
1.	Breast Lift (Mastopexy)
o	If sagging is the main issue, a breast lift will reposition the breast tissue and nipples for a perkier look.
o	It’s ideal for women who are happy with their current size but want their breasts lifted and reshaped.
2.	Breast Augmentation with Implants
o	Implants (silicone or saline) can restore fullness, especially in the upper pole of the breast.
o	This is ideal if you want to regain both volume and shape.
3.	Fat Transfer to Breasts
o	This procedure involves removing fat from another part of your body (like the abdomen) and injecting it into your breasts to restore lost volume.
o	While subtle, this option gives a natural appearance with no need for implants.
4.	Breast Lift with Implants
o	A combination procedure that both lifts the breasts and restores volume with implants.
o	This is perfect if you’ve lost both size and firmness after pregnancy.
If you are interested in surgical solutions, it’s best to schedule a consultation with a board-certified plastic surgeon to discuss your goals. They will help you determine the right approach based on the amount of volume loss and any skin laxity.

Connie Hiers, MD, FACS · Answer

Welcome to motherhood! Lots of things change, especially with the girls. You can have a lift, or even a lift and small reduction. If desired, implants placed behind the muscle can give more upper breast fullness.  If you plan to have more children, you might want to wait.

Mats Hagstrom, MD (license on probation) · Answer

To restore volume in the upper half of the breast implant augmentation is really the best option.
Your breast are already on the large side, so adding implants could be an issue.
You also may need a lift in conjunction with this which makes the situation more complex.
I suggest having a few in person consultations with the plastic surgeons in your community.
Ask surgeons to open up their portfolio and show you before, and after pictures of previous patients who had similar body characteristics to your own. Period
Bring pictures of your breast to use as a reference during the consultation.
This can be really helpful when reviewing before and after pictures.
Best,
Mats Hagström MD

How to get my pre pregnancy breast back?

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