How long after gastric sleeve do I have to wait to have a breast lit?

Good afternoon!congrats on your weight loss!  It is vital that you wait until your weight is stabilized- meaning that you stay within 5 pounds for several months- before proceeding with any cosmetic surgery after massive weight loss.  In general, one needs to wait a year after gastric sleeve surgery before embarking on these procedures.I hope this helps

Thank you for your question.After weight loss surgery, over the first year the weight will continue to come off. I would recommend waiting at least a year and maintaining that weight for at least 6 months. You do not want to have the surgery, then have more weight loss and end up with more sagging after surgery.

When you have reached your weight goal and held it steady for three to six months, you can have the breast lift to remove excess sagging skin and fat while improving the shape of the underlying support tissue. Always consult with a board certified plastic surgeon.

Once you have achieved your desired goal, it would be acceptable to do a breast lift.  The technique I recommend is The Bellesoma Method.  This will 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 long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Best Wishes,Gary Horndeski, M.D.

Generally, after bariatric surgery, it takes about 1 year to lose about 80% of the weight you are going to lose.  We generally want the patient to be at a stable weight for at least 3 months before undergoing body contouring surgery.The most important aspect here is to maintain at a weight that you are comfortable with and are able to keep at without significant modification to your life.Hope that helps.

Congrats on successful surgery and weight loss down to your goal.I like patients to be at a steady post weight loss weight of 3-6 months before a major body sculpting procedure. At 4 months i would start seeing plastic surgeons to get opinions and have your surgery when ready. Good luck.

Dear Generous821,
most plastic surgeons would recommend you to reach goal weight and maintain it for a few months prior to breast lift surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss achievement! I advise patients to maintain their goal weight for 6 months prior to any cosmetic surgery to ensure the best shot at a great and long lasting aesthetic result. However, surgeons vary in their opinions, so it would be worthwhile to begin finding a plastic surgeon who you trust and become established with them with a consultation since you are at your goal weight. You will have a better sense of timing after your consultation.

Hello and thank you for your question.  I typically ask my post-bariatric surgery patients to maintain a stable weight for 6 months prior to undergoing their body contouring surgery.  In my experience, most patients who have lost a significant amount of weight, post gastric sleeve or bypass, also have lost a significant amount of volume in their breasts and would benefit from a breast implant with a lift, and not just a lift.  There are a number of important points to discuss about a breast augmentation and a breast lift.

In terms of the breast augmentation, the first step is to have a detailed discussion to clearly define your desired breast outcome goals – this would include the size you would like to achieve, and your ideal breast shape.  I would then select the best breast implant for you based on volume of the implant, projection of the implant, contents of the implant (saline vs silicone), shape of the implant (round or anatomic), surface of the implant (I only perform smooth), position of the implant (over or under the pectoralis muscle), skin stretch of your breast (more stretch would require a larger volume to fill, as in your breast), degree of breast sag (which would benefit more from a lift), breast diameter and overall chest circumference, native breast tissue volume, and any history of prior surgery or trauma to the breast. When it comes to the breast lift, the degree of breast and nipple droop will determine the type of incision necessary to lift the breast.  An exam in person would allow me to truly evaluate the "substance" of your breast and get a sense of how "full" your breast is, and determine the type of breast lift you would most benefit from.  In terms of the incision, there are many types of breast lifts (with different incisions) which include the donut, lollipop, and anchor incisions.  For more details on each of these breast lifts, please refer to the link below.  

Even thought you're not quite 6 months out, I would still try now to seek out a board certified plastic surgeon who specializes in aesthetic plastic surgery.  In your consultation, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.  
And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.  
For more information on breast lifts, please refer to my link below.  
Good luck.  
Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon

Hello dear!!
Thanks for the question and provided information as well. 
l recommend 1 year for that. But anyways, make an appointment with your board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)