I don't hate my breasts but I'm still considering augmentation after weight loss. What are your thoughts?

Question

I am considering breast augmentation and may add a lift later . I have been reading so many comments from women who hate their breasts. I don't hate my breasts. If they looked like they did when I was 35, I would love them more. Lost volume when I went from 105 lbs to 98 lbs (5.3 1/2" tall; age 50). I am worried that I will be bothered by the weight of them and that I may look fat post BA. (I will go smaller than most ). I would love any input or thoughts about this. Thank you :)

Ricardo A. Meade, MD · Answer

Based
on your photo, you appear to be a good candidate for a breast lift to improve
the shape and position of your breasts. Breast augmentation with modest
implants tends to add such a small amount of weight to your chest that you
probably won’t notice a difference. Augmentation alone won’t address severe sagging.You should consider scheduling a
consultation with a plastic surgeon to explore your options and gain an expert
opinion that's customized to your personal anatomy.

Mark E. Mason, MD · Answer

At practically 5'4" and 98 pounds, you are underweight. You also stated you are "worried" that you will be "bothered by the weight" of the implants and that you might "look fat" after a breast augmentation. Because of your comments and extremely low weight, I also worry you might not like your results with a breast augmentation by itself. Only you can decide.I would encourage you to think about what it is you would prefer. Would you prefer a younger, perkier shaped breast? Or simply more volume? While an exam is required to determine if you need a lift or not, your goals also weigh heavily into the decision. It sounds like you are very weight-conscious, and adding implants without a lift might give you a result you don't care for.I advise you find images of breasts that you like, and meet with a board certified plastic surgeon in your area to discuss your specific goals. Thanks for your question and best of luck!

Ronald J. Edelson, MD · Answer

I would recommend a lollipop type lift with an implant under the muscle, either sake or silicone.  I think that would give you the shape you are looking for.  I don't think an implant alone will give you the proper look.

Gerald Minniti, MD, FACS · Answer

Hello,I can't tell you whether you should have breast surgery, but I can tell you that if you do, beware.  Your breasts are substantially different, not only in size, but in shape (skin envelope surface area).  The typical recipe for two different sized breasts is putting a larger implant into the smaller breast.  However, in a situation like yours, this will actually accentuate the differences in the shape of your breasts, the smaller getting more expanded then the larger.You can have subtly larger, and more beautiful breasts without looking heavier, but you should want to do it right the first time. Unfortunately, avoiding a lift/asymmetric reduction along with implants will probably make you unhappy.Go visit a few ABPS certified/ASAPS member surgeons that specialize in cosmetic breast surgery.Best of luck!

Shlomo Widder, MD · Answer

Dear PDS,  Thanks for submitting your picture. From observing your picture , you appear to be A cup on the left side and small B on the right side. You also have level 2 ptosis with large areolas and your breasts are positioned quite low on your chest.  Based on my 29 years of practice and thousands of breasts augmentation patients. I would strongly recommend to do the breasts augmentation with mini lift (donut) at the same time. Breasts augmentation alone, will worsen the ptosis, unless the crease is lowered significantly, which will position your breasts even lower on your chest. In my opinion, this is unattractive and not youthful. Additionally, at times, the crease is rigid and a double bubble can occur.   As far as implants size, you did not provide your chest circumference measurement in inches, which is critical for the correct selection of implants size based on your desire. Let's assume that you are current bra is 32 B. To become 32 full C cup(very nice size) , you will need on the right side implant with volume of 225 cc and on the left side 325 cc. These are not big implant, so you do not have to worry about being bothered by their weight.  You have to realize that not all results are the same, because experience, skills and aesthetic eye, are critical for obtaining satisfying and good outcome. So, do your due diligence and choose wisely.  Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                   Best of luck,                                          Dr Widder

Robert W. Kessler, MD, FACS · Answer

Breast augmentation can be done with a modest implant to restore fullness to the breast in the area above the nipple. This will create a more youthful appearance to the breast without making you feel too big.Given the difference in volume between the breasts and the mild  laxity of the skin I would encourage you to consider a lift at the time of this procedure as well.Good luck and I hope this was helpful.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question and photos. You appear to have asymmetry with the right breast larger and slightly lower than the left. It looks like a lift will be required in addition to placement of breast implants. I do not think you will achieve a satisfactory result with either augmentation or a lift alone. It is best to have an in-person consultation with a board certified plastic surgeon who specializes in cosmetic breast surgery. Ask to see a lot of before and after photos of their work. Hope this helps and good luck!

Gregory Baum, MD · Answer

Thanks for your question and photo because I hear these comments frequently. It looks like you still have a reasonable volume of breast tissue to make a nice breast on both sides. I think you should get a breast lift first and if this is still not enough volume,  then get implants. You may find that your lifted, natural breasts are really you need/want. I think your breasts will have an odd shape if you do a breast augmentation without a lift. You will definitely need the lift with/without implants. You should discuss these issues with your PS so your expectations will be met. Best wishes.

Moneer Jaibaji, MD · Answer

PDScraft, Congratulations on your weight loss, and thank you for your question, looking at your photos I believe that augmentation with silicone implants can restore the lost volume, you may benefit from a breast lift as well. The best way to assess and give the best advice would be an in-person exam. One way in which you can communicate your desired results is by the use of photographs of “goal” to your surgeon.

Malcolm A. Lesavoy, MD, FACS · Answer

I agree, you have nice breasts, but a  augmentation with silicone implants can restore the lost volume, as long as your surgeon wants you to have a natural appearance and not a "fake" breast look.

I don't hate my breasts but I'm still considering augmentation after weight loss. What are your thoughts?

Answers (14)

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