Will my breasts get saggy if I lose 20+ pounds after Breast Reduction surgery?

It doesn't sound like that you lose weight and in your breast with weight-loss. So having your breast reduction and losing an additional 20 pounds may not affect your breast shape greatly. What will affect your breast greatly would be not warring supportive bras and if you eventually decide to have a family.

Breasts can sag after major weight loss. Usually a breast reduction will tighten the breast tissue and lift it enough so that you should not sag even if you continue to loose weight after breast reduction surgery. ultimately, the answer really depends on your skin elasticity.

You certainly can develop increased skin laxity after surgery if you lose more weight. Often you lose more volume and the upper part of the breasts lose volume just like after breast feeding. Frequently the nipple position doesnt change but continued sagging of skin cause a " star-gazing " appearance of the nipples. If you are planning significant( greater than 25 more pounds) you can consider delaying surgery. Most people are so anxious to rid themselves of the extra skin and weight that they proceed and deal with consequences( if severe) later.  Weight lose will not obviate the need/desire for breast reduction in my experience. Good luck!

 Congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform. Generally, I suggest that patients be as close as possible to their long-term stable weight prior to proceeding. This will increase the safety of the operation and minimize chances that additional surgery will be necessary subsequently. Best wishes.

will impact your volume and even your look as you could have some atrophy develop with a bottom heavy look.  I've had patients lose enough weight that they actually came back for implants years down the road.  Ideally you should be at your stable weight when having body contouring surgery but if you lose weight afterwards, you should assume there will be some changes in your breasts as well.

Sometimes breast reductions are performed and patients go on to lose more weight because they feel more comfortable to do so. As for the shape after weight loss, it is difficult to predict. They may droop a bit.

The ideal situation would be to lose and maintain the stable weight first.  You could have some sag after another 30 lb weight loss. When dealing with insurance companies, though, you might no longer qualify for the surgery so it is a real balancing process.