My boobs sag and are empty since I lost weight. What are my options? (Photo)

Question

My boobs are empty and sagging worse since I've lost weight. I don't want big boobs just normal looking ones what are my options?

Jeffrey LaGrasso, MD · Answer

Thank you for your question! It is very common for breasts to lose their volume and/or result in sagging after weight loss. An implant proportionate to your height and weight will provide you with more volume along with rounder, perkier breasts. Once you visit a skilled plastic surgeon, they will discuss the different sizes and type of implant that will best suite you. They will also take measurements and determine whether or not a breast lift is needed.

Kenneth Hughes, MD · Answer

A breast lift may be a very good option to lift and reshape breasts, but an exam would be necessary to make that determination.  Breast fat transfer can produce one cup size increase in most patients.  If you want more than one cup, implants would likely be a better choice.Consult with a board certified plastic surgeon to discuss fat grafting and implants and then decide what is best for you to achieve the natural looking breasts you have in mind.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Daniel Barrett, MD · Answer

Hi handymanstu, 
  
Breast implant type and size selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion of the pros and cons of the various types and sizes. But the decision will always start and end with the patient.  
  
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements. 
  
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match. 
  
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
  
You should discuss your concerns with your plastic surgeon and make sure that your surgeon understands your goals. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, American Society of Plastic Surgery

Charles Nduka, MD · Answer

A breast lift is one good option to get rid of the sagging and make your breasts tighter and perkier. It is best to consult with a board-certified plastic surgeon for an in-person examination.

Michael J. Yoo, MD · Answer

Based on your photos and your own description it appears that a mastopexy augmentation would be the best solution.  An in person consultation where actual measurements can be taken would aid in the decision making process.
best wishes

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
  
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!
  
Looking at your photos I might say that you´ll be a great candidate to get a breast augmentation with implants. The size of the implant will depend of what you want and what your body support; the results of this procedure are beautiful, giving you and excellent shape of the inner and outer pole of the breast.  
  
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.
  
Have a great day! 
  
Dr. JPG

Lawrence Scott Ennis, MD, FACS · Answer

If you want your
breast fuller and are happy with the shape of them, then an implant will be
fine. Keep in mind an implant will only "fill our breast up" it will
not "lift them up". They will look just like they do now, they are
just bigger and fuller with an implant only. If you feel this will meet your
goals, then an augmentation should be fine. If you are unhappy with the
position of your breast and feel they are too low, then an implant will likely
not satisfy you and you will want to consider the lift. A lift will "lift
them up" and put them in a higher position, change the size of the areola
and "lift" them off of your chest. Often times both of these
procedures are combined to achieve an optimal result. By lifting them and
adding volume, the breast will not only sit higher on your chest but will also
have the nice fullness from the implant.  Dr Scott
Ennis - Plastic Surgeon – Destin and Miami , Fl

Sean Doherty, MD, FACS · Answer

Congratulations on the weight loss, but yes, it often takes a toll on the breasts. The right procedure will really depend on what look you want. A breast lift will keep your current volume but place your breasts on a higher plane on your chest -- making them more perky. Combining this with an implant will also increase volume. Hope this helps.

Paul Jason Skoll, MBChB, FRCS, FCS(SA)Plast · Answer

Hi. The attached photograph is not ideal for assessment. That said, in general terms, if you desire more volume (due to having lost weight etc) you would require a breast implant of sorts - this does not have be very large, but is tailored to your desires and chest measurements. You benefit from a lift in addition to this volume, and this is best assessed by a plastic surgeon, at consultation.

Jeremy S. Hurren, BSc, MBBS, FRCS (Plast) · Answer

Your boobs look normal!
However your nipples are a little lower than many people would like. However,  I would not be quick to recommend an uplift as the degree of ptosis (droop) is small and there are disadvantages in uplift surgery.
A small silicone implant would fill out your breasts and may give your breasts an appearance closer to what you would like. This may be your best option.
Fat grafting is also an option but the results can be variable.
I advise you to think carefully about how you would like to change your breasts. Look at before and after pictures and keep examples of what you like and do not like. Then have a consultation with a suitably qualified and trained plastic surgeon take the pictures with you. 
Best wishes

My boobs sag and are empty since I lost weight. What are my options? (Photo)

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