How Will Weight Gain/loss Affect Asymmetric Breast Surgery?

Question

I have uneven breasts so I know I will need to have different sized implants on each side. My issue, however, is that I have lost about 25 pounds and would like to lose about 15 more pounds before I am at my goal. Will the degree of asymmetry change with weight loss or weight gain in the future? Should I wait until I am at my goal before I have the procedure? I would hate to get the implants now and after losing (or gaining some weight in the future) have my breast be uneven again.

David J. Levens, MD · Answer

You are correct that weight loss may impact your breast size and appearance. It would be best to achieve a more stable, goal weight prior to proceeding to lessen the uncertainty predicting your ultuimate size and shape. Asymmetry is common and although attempts can be made to improve asymmetry with different implant volumes and other modifications, complete symmetry is generally not possible.

Tom J. Pousti, MD · Answer

Thank you for the question.  I think your plan to reach a long-term stable way prior to undergoing any type of breast surgery makes sense. Keep up the good work with your weight loss program,  allow the breasts to reach  their long-term size/shape/ position prior to making any decisions about the best operations to meet your goals.

	Best wishes.

Scott Loessin, MD · Answer

Weight gain or loss will have no affect on asymmetry. However, for the implant size, you should wait until you reach your weight goal before having the procedure.

Kris M. Reddy, MD, FACS · Answer

Congratulations on your weight, and wishes for continued success. The phrasing of your questions suggest that you understand that weight loss will impact the results. If you are expecting to lose another 15 pounds, wait on surgery until you reach your goal and have maintained it.

Robert L. Kraft, MD, FACS · Answer

You are correct that a weight loss will affect the surgical plan and outcome. It is best to wait until you have reached your goal and particularly maintained it. Take the time now to research surgical procedures in the meantime and best of luck with your weight loss.

Jeffrey M. Hartog, DMD, MD · Answer

I agree with my colleagues in the assessment that you should wait until you reach your ideal weight. Asymmetry can be addressed with different sized implants but don't expect your breasts to ever be 100% the same. Everyone's breasts vary slightly but patients tend to pay closer attention to their breasts after surgery. I am sure you'll be happy with the results since you'll be more symmetrical than you are currently. Good luck!

Richard P. Rand, MD, FACS (retired) · Answer

Of course, you already know the answer to this question and worte it right into the question.  Wait until the goal weight is reached, not any sooner.

How Will Weight Gain/loss Affect Asymmetric Breast Surgery?

Answers (7)

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