How would weight loss after breast reduction surgery affect my results? Would this be noticeable?

Question

Hello, I’m a 43 year old female considering breast reduction surgery. I’ve been wearing 36G/H size bras. I’ve gained about 25 pounds since having a child 6 years ago and am interested in losing that weight. I’ve been told I have very dense fiberous breasts. If I have the reduction surgery now, would there me a noticeable change if I lost 25 pounds? Thank you

Alan Gonzalez, MD, FACS · Answer

Hello @Diligent651426, thank you for your question! When it comes to gauging the size you will end up, it is important to note that a consultation with a qualified doctor or specialist is essential for developing an accurate surgical plan that meets your desired outcome. a B/C Cup may be achievable depending on numerous factors such as current breast shape, tissue; If its gladular or fat tissue or if it dense. The right combination of techniques tailored specifically towards each individual case can help achieve aims - based on each patient's wants and needs. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Chet Mays, MD · Answer

Thank you for your inquiry! I always suggest having elective plastic surgery when you're at a stable weight. If you're currently losing/gaining weight or wanting to lose/gain weight then I would suggest waiting until weight is stable to get any breast procedure as that will affect the results. I would love to see you in person and verify that you're a good candidate for this procedure. Schedule a consult with a board certified plastic surgeon like myself so we can make a surgical plan for you and help you reach your goals!

Richard A. Bartlett, MD · Answer

Hi Diligent651426,
I usually recommend that our patients be at their "ideal weight" prior to having a breast reduction surgery. Weight loss can result in a decrease of adipose (fat) tissue in the breast after a breast reduction, despite the fact that you also have dense fibrous breast tissue. This can alter the appearance of the final desired result and or lead to excess skin laxity. As always, it is best to consult with a Board Certified Plastic Surgeon. After a a physical examination of the breast, your surgeon would be better able to tell you how weight loss may affect your breast shape and appearance post-operatively.

Caner Kacmaz, MD · Answer

Thank you for your question. I recommend you to wait until you complete your weight loss goal before getting your surgery done. Losing more weight afterwards could cause sagging again. Good luck

Dustin Christiansen, MD · Answer

Breast size changes with weight loss vary from person to person so it is hard to predict what will happen with weight loss. The simple answer is to lose the weight before have the breast reduction surgery and that will really take the guesswork out of it.

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

We always recommend to lose weight before any cosmetic surgery because there may be additional loose skin. If the breasts are very dense it may be due to breast gland and less fat so weight loss may not have such a severe effect. Many patients find it difficult to exercise with heavy breasts so it makes it challenging to lose weight. I would advise to lose maybe 10-12 pounds at least before the surgery and the rest after.

Aaron Gilson, DO · Answer

When you lose weight after a breast reduction surgery, it's natural to have concerns about how it might affect your results. It's important to understand that our breasts are partly composed of fat, so significant weight loss can lead to a further decrease in breast size. This might alter the shape and firmness of your breasts to some extent. However, everyone's body responds differently, and the exact changes can vary. Your health should be paramount and if that involves losing weight, a breast reduction should not deter you. It's always a good idea to maintain a stable weight before undergoing any surgical procedure to ensure lasting results. 
Dr. Aaron Gilson, Portland Oregon

Gary M. Horndeski, MD · Answer

At size 36, each 200 grams removed corresponds to 1 cup size change. There are 2 parts of the breast: one is pure fat and the other is breast parenchyma. If you have very dense breast, you may have very little fat tissue. If that is the case, then losing fat from weight loss would not adversely effect your breasts. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John Michael Thomassen, MD · Answer

With that much weight loss you will have ptosis recur and possibly adverse shape of the breast.  Would recommend doing after weight loss

Connie Hiers, MD, FACS · Answer

If weight gain did not change the size of your breasts much, then weight loss will not make much difference. However, if the girls got bigger as you gained weight, then you will lose some volume with weight loss.

How would weight loss after breast reduction surgery affect my results? Would this be noticeable?

Answers (16)

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