I Am a Size 38 "L", a Bit Overweight, and Wanting a Breast Reduction. Should I Get This Before or After Weight Loss?

I am also a little overweight, 5'3" 194 lbs, and am finding that core exercizes are extremely hard to do, and puts a strain on my back. Will I find it worth my while to get my reduction done before I try to loose weight ,to make it easire, or after I loose weight and my chances for a smaller cup size acheivable? I experienced a bit of pride when I reached DDD when I was sixteen and carrying them, however a size "L is a bit much. Will I feel deformed if I go too small (size "c" perhaps?").

Doctor Answers 3

Breast Reduction Before or After Weight Loss

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As women lose weight, so do the breasts. This may lead to some sagging or #ptosis of their breasts.
Often, those who experience sagging are ideal candidates for breast lifts. A #mastopexy or #BreastLift operation is designed to improve the shape and position of the breast without reducing the size. It is used for breasts which #sag or droop (#ptosis). Some patients have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy.
Additionally, the procedure can also be combined with a minor breast reduction to reduce the breast width, if desired.  Also, the procedure will create nipple and areolae of the desired size and at the correct height.

With this in consideration, your options may change if you continue to lose more weight.
After all, gravity will continue to have an effect and the breast skin will tend to stretch over time. The degree of stretching and sagging varies between women: generally, women with smaller breasts experience less recurring sagging. Heavy and large breasts may lead to recurrent sagging and may require the removal of a small amount of breast tissue to achieve an optimal shape and size. One key to a satisfying result is realistic expectations.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Large breast hindering excercise and weight lose, what should I do?

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Tough question, large breasts can certainly hinder and make exercise painful, I would encourage you to seek a board certified surgeon to discuss your concerns with weight loss after a reduction, many woman's breasts do not change significantly after weight loss, especially if they are very fibrous, very difficult to answer this question without an exam. but reducing the size of your breasts can certainly help with weight loss/exercise!!

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 93 reviews

Losing Weight Prior to Breast Reduction Surgery

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Thank you for your question.

Ideally, I ask patients to lose as much weight as possible before having surgery because if you have the surgery first and then lose the weight, your breast size/shape will most likely change and you may need revisionary surgery.

If it is difficult for you to exercise and lose the weight because of the large breasts, you can have the surgery before losing weight but you have to understand that most likely after the weight loss, your breast size will become smaller and you may not be happy with the outcome.

Visit with well experienced plastic surgeons who can discuss this more in detail with you to help you make a good decision.

Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.