Late 20s, can I get breast lift while losing weight?

Question

I’m in my late 20s and am in the process of losing weight—I’m 15 lbs down and have about 45 to go. I absolutely hate how my breasts look. Weight gain really took a toll on them, and it’s so depressing to see every time I get dressed. I’ve heard you shouldn’t get a breast lift if you still have weight to lose, but is there anything I can do? I can’t stand to look in the mirror.

Finny George, MD · Answer

Hi, thank you for sharing your question. I’m order to have the best results for a breast lift, you should be at your ideal weight and preferentially be done with pregnancies or breast feeding if that’s part of your future plans. I hope this helps.

Wayne I. Yamahata, MD · Answer

It is always better to wait until your weight has stabilized or least comes close to your goals before having a breast lift. . Substantial post surgery weight loss can result in recurrent sagging and loss of contour to the breasts

Leila Kasrai, MD, FRCSC · Answer

It can be disheartening to see your breasts change after weight loss. However, you’re still young and your breasts may regain a bit of their perkiness after your weight has stabilized. Considering that surgery is a major undertaking, you may want to wait to see if your breasts regain their shape. If they don’t, you can consider a breast lift. Getting a breast lift halfway through your weight loss may not be a good idea since weight fluctuations after surgery can negatively impact your results. While you’re waiting, why not celebrate your weight loss and appreciate the positive impact it’s having on your overall health instead of focusing on the way it’s changing your breasts?

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size. However, 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. 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 W. Vann, MD, FACS · Answer

It is best to lose any weight you plan to lose before the surgery. If you have a breast lift and lose 45 more lbs you might need a lift revision to tighten the now redundant skin. Also when you are losing weight you are tearing down tissue which we call a catabolic state. That is not a good foundation for healing a new surgery. This is why we ask massive weight loss patients to plateau their weight loss for 3 months before they have their skin tightening surgery, they will heal better. Good luck.

Richard A. Bartlett, MD · Answer

Thank you for your question. I typically advise patients to wait until they are at a stable weight before having a breast lift. Weight loss can sometimes result in skin laxity that would be best addressed with a lift to remove excess skin. I'd suggest scheduling a consult with a board certified plastic surgeon to discuss your particular situation. Best of luck!

Ronald J. Edelson, MD · Answer

You should start the process by gong on consults. Each surgeon may have different opinions on the weight loss issue but you can at least initiate the process .

Daniel Barrett, MD · Answer

Dear Compassionate370624,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you 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

Connie Hiers, MD, FACS · Answer

Wait until you have reached your goal weight before considering a lift. Otherwise, it may need to be redone. do remember that pregnancy and breast feeding can also undo a breast lift.

Douglas Taranow, DO, FACOS · Answer

Dear Compassionate,
I would wait till you plateau or complete your weight loss goals for the longest results.  A breast lift now will certainly make you much more content and confident, but further weight loss may cause a bit of the results to fade (not hanging but less tightness and some drop).
Best wishes on further weight loss.
Dr. Taranow

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