Is is possible to significantly reduce my breast size by exercise/weight loss?

Question

I have been trying to lose weight for the last 2 years via diet. Exercise is almost impossible. I can only walk as my breasts are too painful after they have been "bounced around" which follows with bruising . I still can't find a sports bra that fits properly I'm at 36O+ just for reference, so that makes it even more difficult. I am loosing weight slowly but my cup size hasn't changed, only my back size.

Caner Kacmaz, MD · Answer

Eating healthy and exercising are effective methods of losing weight. For many women, this includes a decrease in their breast size as well. Breast tissue consists of fat but if you genetically have large breasts, you are less likely to get the desired amount of reduction from diet and exercise.  Breast reduction surgery would be the best option for women who genetically have large breasts. Best wishes.

Daniel Barrett, MD · Answer

Dear milliecave,
generally weight loss will cause your breasts to downsize, but there is a high chance that they will become saggy. Breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. 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

Gary M. Horndeski, MD · Answer

There are 2 components of the breast: breast parenchyma and breast fat. If you are heavy, losing weight will decrease the fat content of the breast but will not decrease the parenchyma. If you have a lot of parenchyma and very little fat then weight loss will not be effective. An alternative for you to consider is liposuction. This will decrease the size but the skin will hang. Another alternative to consider is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest and more medial to increase your cleavage. 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.

Scott C. Lindsay, DO · Answer

Thanks for your question! With weight loss, your breasts will eventually continue to get smaller. If weight loss seems to be a challenge, I would suggest asking your primary care physician if they have any suggestions. Good luck!

Michael Ablavsky, MD · Answer

I am happy to hear you are trying to incorporate lifestyle modifications such as diet and exercise to help with your weight lose. Fat is one component of breast tissue. If you lose weight part of it can certainly be from your breasts. Massive weight lose patients often have changes in the size and shape of their breasts because body composition/fat content has changed.

Camille Cash, MD · Answer

Many women are able to reduce the size of their breasts to some degree with significant weight loss.  The question is if it will be enough of a difference to alleviate your concerns.  I encourage you to continue on your weight loss journey and if you are interested in a surgical breast reduction, visit with a board certified plastic surgeon near you.

Michelle Copeland, MD, DMD · Answer

Thank you for sharing! Large breasts may not only interfere with your physical ability to function in daily activities but can be emotionally burdensome as well. From what you describe you are a candidate for a breast reduction. Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. It is possible to do a breast reduction with a minimal scar technique and can also be done as an outpatient procedure under twilight sedation. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patient’s body. Your surgeon knows exactly how much tissue he or she is taking out, because it is weighed after removal. Additionally, breast reduction comes with an added bonus- the removed breast tissue can be sent to the lab and examined by a pathologist for signs of cysts or cancer. And having smaller breasts can take years off your appearance! It's important to be sure expectations are realistic and you have an understanding of the commitment needed for the healing process. Make sure that you understand the nature of your surgery, the recovery process, and that you feel comfortable and emotionally ready to make these changes to your body. I suggest you make an appointment with a board-certified plastic surgeon who will examine you and go over your surgical options in detail.

Is is possible to significantly reduce my breast size by exercise/weight loss?

Answers (7)

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