Breast lift/augmentation after significant weight loss (photos)

Question

I am 37 years old and have lost 100lbs in 1 year. I am currently 147 lbs. my breasts have always been large (DDD), but droopy. Since the weight loss, I have lost ALL of my breast tissue. My breasts are seriously just sagging skin. The nipples don't actually point down though. I can see my rib cage where my breasts used to be. With the skin and little tissue in a bra I still am a C or D. I need suggestions for the best way to proceed. I am done having children and breast fed them for 5 total years

Jimmy S. Firouz, MD, FACS · Answer

Congratulations on your weight loss, that is a big accomplishment! After reviewing your pictures, I would recommend a breast lift with implants to rejuvenate the appearance of your breasts. I have performed this combination of procedures on many woman with breasts like yours and the results are phenomenal! I have provided a link below to my photo gallery of breast lifts with augmentation.

George Marosan, MD · Answer

Thank you for the question and photos. You would benefit from a breast lift and augmentation. Often these are done at the same time, in your case, I would stage the operation. I would proceed with a breast lift first, followed by an augmentation 4-6 months later. Although this involves two operations (both done under intravenous sedation and not general anesthesia), the surgeon has more control about the outcome as if it would've been done together. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Gerald Minniti, MD, FACS · Answer

Hello,Without any argument or discourse, a breast lift is in order. Regardless of where you think your nipples are pointing, they are far below your inframammary fold and need to be above the fold, ideally about an inch. Your skin is extremely thin and inelastic, so removal of as much skin as possible would be ideal; this can be accomplished best with some volume reduction of your breast tissue. However, no matter how aggressive the lift, you will still have an upper pole deficit that is best rectified with the use of an implant. This is a complex and difficult surgery to perform well consistently, with a low rate of complications in the hands of the casual plastic surgeon.  Please visit a few ABPS certified/ASAPS member surgeons that specialize in cosmetic breast surgery.Best of luck!

Tania Medina de Garcia, MD · Answer

Hello
dear, thanks for your question and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift
restores a firmer, perkier, and more aesthetically pleasing shape to sagging
breasts. This not only can improve a patient’s appearance by restoring her
youthful, feminine proportions, but  also help bras and swimsuits fit
more comfortably and attractively. By removing excess, stretched out skin,
reshaping the breast tissue, and raising the nipple & areola into a more
forward position, a cosmetic surgeon can create a more youthful breast
contour. Stretched, large areolae can also be reduced during breast
lift surgery, creating an overall better proportioned, natural looking breast, Actually
the perkiness on a person or another, depends on patients skin and breast
tissue, have a great day!!

Curtis Wong, MD · Answer

in how best to accomplish your goals.  If you really want a lot of fullness on top, consider having a reduction/augmentation.  If not so important, then a standard auto-augmentation mastopexy may be good enough.  Best to see your surgeon and find out what options you are offered and if you cannot make up your mind, post your options here and see what the gallery votes as best and the arguments given behind their position.

Breast lift/augmentation after significant weight loss (photos)

Answers (7)