What is Best Solution for Breast Augmentation After Weight Loss? (photo)

Totally confused by all the information out there. I am 47 yo & have lost weight (about 35lbs) and my breast are sagging. Do not want to get a breast lift so am planning to get implants to fill them out and get a lift. (would love to wear a tank top without a bra to 'pack' the girls in. So do I get above the muscle or below? Would smooth or textured implants be better? Is saline or silicone best for long term health and results?

Doctor Answers 7

Breast lift

The photos are most helpful and I appreciate the fact that you do not desire a lift, however, let me caution you and say that anyone who tells you that an augmentation in your case will "lift" your breast is giving you misinformation and you will be very disappointed in the outcome.  If you chose to go only with implants, your breasts will look like Snoopy's nose-very undesirable as the implants will only fill the upper pole of the breast with the sagging breast tissue below.  In all my years, I have never had one patient tell me that they regretted getting a lift either with or without implant in order to create more youthful and perkier looking breasts.  Think this over and take time to make your decision.  Good luck!



Charlotte Plastic Surgeon
4.8 out of 5 stars 125 reviews

Breast augmentation after weight loss

Breast augmentation after weight loss most often involves a lift because the volume loss and droop results in a nipple at or below the breast fold, and augmenation can push the nipple lower. Also we tend to favor a subglandular smooth gel implant as we get a better match with the implant and breast envelope so they move together and feel as one. If can accept the droop better than the scar follow your heart. A lift can always be done in the future.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Breast Surgery for "Sagging"

Thank you for the question and pictures.

Congratulations on your successful weight loss;  I would suggest you continue doing what you're doing until you have reached a long-term stable weight,  prior to proceeding with breast surgery.

At that point, personal consultation with a well experienced board-certified plastic surgeon will be helpful. Be careful:  if you try to get away with breast implants only to “lift” your breasts you may and am very disappointed. Unfortunately, the only way to really “lift"  the breasts  in your situation  is to undergo a breast lift operation.

Again, it will be critical for you to seek experienced/ethical advice;  if an  operation is proposed to you that sounds too good to be true it probably is.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

You'll probably need a lift

If you want to look good in a tank top without a bra, you may need a lift. Sagging tissue is common after losing weight, and this can only be adequately addressed with a breast lift. 

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

The options look simple in sagging breasts after thoroughly exploring choices

Firstly, congratulations on your weight loss! I think you would get the nicest, most natural result from an augmentation mastopexy as this will restore volume to the upper part of your breast and lift your existing breast tissue to properly drape over your implants. Women are often scared to have a breast lift as it will leave scars around their areola and lower breast pole. Have a look at some before and after shots of women who are one year down the line from a mastopexy- the scars in most cases soften to being flat and pale. If you really want to avoid a breast lift, then you will require a very large implant to improve your breast droop. Above the muscle will help the implant maximise giving more shape to your breast, texturing and silicone will help reduce the rate of capsular contracture. Large implants always need to be revised as they drop with gravity over time- but hopefully this is over decades.

Amira Sanki, MBBS Hons, FRACS, PhD
Sydney Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast augmentation together with breast lift

You will not get what you need before surgery - informed consent - from the internet. That is why you are confused and why you need to see one or more plastic surgeons face to face before undergoing surgery. Your posted photos do not include your shoulders, your are not standing up straight, they are not true fontal or side views and they are shot at a downward angle so they cannot be used to make any real recommendations. The only recommendation I can make is make an appointment to see a plastic surgeon for a consultation.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Lift or No Lift

If you want to address the sagging, you will need a breast lift. You may be a candidate for a short scar breast lift, but you will need to consult your plastic surgeon to be sure. It is a trade off, a scar (well concealed scar) for shape. Naturally, many women have reservations about having a scar but if your ultimate goal is to improve the sagging, there are very few options. Getting implants alone with no lift will make your breasts fuller but will not lift the breasts and will not allow you to wear a tank top without a bra.

Nia Banks, MD, PhD
Washington Plastic Surgeon
4.0 out of 5 stars 27 reviews

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.