What Mommy Makeover Options Are Available for a Sagging Bust?

If a mother never breast-fed, would the recommendations be a bit different for improving the look of sagging breasts? Do breast lifts result in a smaller cup size?

Doctor Answers 13

Mommy Makeover with Augmentation Mastopexy

The intentional result of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.

In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.

A Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. 

Always talk to a Plastic Surgeon to discuss your issues and concerns. Information that you read online may not apply to your situation. Make sure your surgeon is boarded by the American Board of Plastic Surgeons.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Breast lift

Recommendations are based on your unique body type, and don't really depend on if you've breast fed or not.  

If you have a lot of sagging, you may find that a decrease in cup size occurs because more tissue may need to be removed. However, generally speaking most women find the decrease is very minor.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Mommy Makeover Breast Lift Surgery - Same Whether Breast Fed Or Not

Breasts get bigger during the pregnancy, and therefore whether you breast feed or don't breast feed, there is an increased volume of skin.  When your breasts decrease in size after pregnancy, this skin often doesn't contract and therefore, there is usually some breast droop even if no breast feeding occurred.
The Mommy Makeover surgical solution for sagging breasts is the same whether one breast fed or didn't. 
There are 4 major problems usually seen in sagging (ptotic) breasts. 
1.  The areola is stretched out and therefore too large.
2.  The areola is usually too low on the mound.
3.  The breast usually hangs on the chest wall.
4.  There is no fullness in the upper quadrant.
The first 3 problems listed above can be corrected by a breast lift, but without implants, one usually ends up with a higher version of the same deflated problem.  There are ways to do a breast lift with no loss in volume and yet most women feel their breasts are smaller after a lift even though the volume hasn't changed.  This is a second reason why breast implants are very often appropriate with the Mommy Makeover breast lift. 

Yes, a breast lift (if done right) does make your breasts smaller. Often use implants at the same time.

No, plenty of moms who did not breastfeed also get breast sagging.  It's undoubtedly genetic.  There are many women who do not necessarily need to be larger.  They just want their breasts lifted.  Unfortunately, trying to reposition sagging breast tissue in the upper poles of the breasts does not work.  In this situation, we remove the extra breast tissue from the bottom (that's what a breast lift does) and restore upper pole fullness with implants, which hold their shape much better than natural breast tissue.  This is called augmentation/mastopexy.  You can check out the photos on my website if you like.  I've attached a link.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 56 reviews

Sagging Breasts and a Mommy Makeover

The breast component of Mommy Makeover surgery can be one of the following:   a breast lift,  a breast lift with an implant to restore lost breast volume,  an implant alone if the breast skin and shape are adequate but volume needs to be restored,  or a breast reduction if too much breast remains after pregnancy.    An expert surgeon will listen to a patient to understand her ideal post-op breast size and then review the possibilities taking into account her unique skin tone, skeletal frame and weight.  

If a mother never breast-fed, would the recommendations be a bit different for improving the look of sagging breasts? Do breast lifts result in a smaller cup size?  Breast feeding may or may not be a contributor to sagging breasts.   A surgeon should only evaluate a patient after she has stopped breast feeding for at least 3 to 6 months following pregnancy or breast feeding allowing the breast to stabilize to a certain post-pregnancy state.   Breast lifts do not make breasts smaller as volume is preserved.   The breast lift elevates and re-sculpts the remaining volume.   There are times in very stretched out breasts that patients will desire a breast implant as well as a lift.   The implant will provide more fullness on the upper chest wall so often seen in models and media photographs.   The advantages and disadvantages of implants should be a part of any in depth consultation.

Carlin Vickery, MD (retired)
New York Plastic Surgeon
5.0 out of 5 stars 21 reviews

Mommy Makeover

A breast lift can result in a smaller cup size, but this would depend on the shape, goals, and whether an implant is to be used.  Sagging breasts need a similar procedure, with or without breastfeeding.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Breast Lift is best Mommy Makeover option for sagging breast-Breast Augmentation is usually done as well

Sagging of the breast after pregnancy is caused by atrophy and shrinking of the breast gland even if you do not breast feed. High weight gain during pregnancy followed by weight loss also compounds this problem.

The Breast Lift  will lift the nipple and breast to a more youthful "perkie" look.

However it is very frequently necessary to add Breast Augmentation to the Mommy Makeover Breast Lift to regain the fullness and youthful cleavage by replacing breast tissue that has been lost due to post partum atrophy.

Most women become used to a full breast appearance with cleavage during pregnancy and miss this feeling and look after the breast has atrophied.

Breast lift with or without implants


Sagging breasts would be best addressed by breast lift surgery with or without implants. Lift surgery can reduce breast size but this is not always the case.


Best Regards,


John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Mommy makeover breast lift

It isn't necessarily breast feeding, but pregnancy itself that causes significant changes in breast shape and volume.  Most women experience some combination of loss of volume and sagging (ptosis).  Correcting this and rejuventating the breasts generally involves augmentation (implants), lifting (mastopexy), or some combination of the two.  What you will need depends on the appearance of your breasts as well as your specific concerns and goals.  Most women have lost some volume and have some sagging.  Some wish to restore or increase volume while having their breasts lifted, and others are satisfied with just a lift.  In some cases, inserting an implant provides enough of a lift to avoid a formal lift or mastopexy and the resultant scars.  Most lifts do not result in a smaller cup size, unless the patient has large breasts to begin with and would like to have them reduced and lifted at the same time.    

B. Aviva Preminger, MD
New York Plastic Surgeon
5.0 out of 5 stars 5 reviews

Breast shaping


A breast lift procedure is designed to shape and contour the breast.  If done properly there is no need to loose any tissue from a breast lift other than the excess skin.  Doing so will result in a better shaped breast without a decrease in cup size.  If additional volume is also desired than an augmentation as well as a breast lift will also be needed.

All the best,

Dr. Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.