I am 29 and have recently lost 100 lbs. I have always had large breasts (46 DDD) now that I have lost the weight I feel so insecure, my chest is saggy and looks like giant rasins. I have always loved my large chest. Now I wear a 38 DDD, the cup size didn't go down, but my skin is just loose and gross. I still want very large brests. The rest of my body is responding nicely to all my working out. I want to be excited about my weight loss. Do you have advice?
Advice for Sagging Breasts After Weight Loss?
Doctor Answers 37
Breast Surgery Following Weight Loss
Massive weight loss of more then 100 lbs can significantly affect a women’s body. Weight loss of this magnitude can cause loose saggy skin in multiple anatomic areas. It’s not unusual for women to lose breast volume and develop breast sag, when this type of weight loss occurs. For this reason, they frequently request breast lift and breast augmentation surgery.
Without pictures and a physical exam it’s hard to know what option is best for you. The majority of patients want restoration of breast volume, correction of breast sag, upper breast fullness and symmetry. The majority of patients require a keyhole mastopexy. In some cases a breast implant is necessary to create upper breast fullness and restore breast volume.
Breast implants can be placed at the time of the breast lift or delayed and performed as a secondary procedure. Both approaches have advantages and disadvantages and many surgeons have strong opinions about this topic.
When both procedures are performed together, revisions are frequently necessary. For this reason, some surgeons feel that staging the procedure is appropriate. Advocates for a combined procedure feel that this approach saves the majority of patients a secondary procedure. They don’t view a secondary procedure as a complication but instead as a necessary next step.
It’s appropriate to individualize care for each patient. In some patients, a combined procedure is indicated while in others a staged approach is necessary.
If your considering breast augmentation and breast lift following massive weight loss, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to help you formulate a treatment plan that will meet your needs.
Breast lift after weight loss
Breast Surgery after Weight Loss
Joshua Kreithen, M.D.
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Restoring shape and volume is what breast enhancement procedures are all about. When there is loose skin, this must be addressed. There are many options available with different lift procedures and a multitude of breast implant options. Here is a basic list of the four options available:
- Breast lift alone (mastopexy)
- Breast lift combined with a small breast implant (below the muscle)
- Breast lift followed by a large breast implant (2 separate procedures)
- Breast implant alone (on top of the muscle, silicone)
Every woman is built differently and every breast is different, even on the same person. So, each procedure is customized for every individual. The final decision on how to proceed can be made after a history and physical examination, detailed measurements, photographs, computer simulation, trying on sizers, reviewing before and after photographs of other women similar in shape and size and talking with your surgeon. A surgical plan will be developed that depends on:
- Patient desires
- The breast "footprint"
- The expertise of the surgeon
- Down time
- Risks and potential complications
Please consult with a Board Certified Plastic Surgeon who performs breast enhancement procedures frequently. This is an outpatient procedure with a quick recovery and a very high patient satisfaction rating.
Sagging breasts following weight loss
Hi, thank you for your question. It is not unusual for breasts to lose their fullness and sag following significant weight loss. In your case I would recommend a breast lift and possibly an implant to replace the volume you've lost. Depending upon your measurements, you might need a vertical incision, although a full inverted-T or an anchor incision is often required in patients with a large amount of extra skin. The best way to begin is with with a consultation with a board-certified plastic surgeon in your area who does a large amount of breast surgery. He or she will be able to present with your options based upon your examination. Best wishes.
Breast Ptosis after Weight Loss
Thank you for your question and congratulations on the weight loss! While life-changing for your health and general well being, as you have described, significant weight loss can also affect a woman's body. The good news is that as plastic surgeons we have options available to patients who wish for fuller and more perky breasts.
Without a physical exam it is difficult to say with any certainty exactly what procedure (or combination of procedures) you may need to achieve the result you desire. To counteract the volume loss and breast sag, or ptosis, that can develop after significant weight loss and/or pregnancy sometimes a combination of a breast lift and breast implants are required in order to restore the volume and shape to the breasts.
You should definitely take pride in and be excited about your weight loss! There are several options available to help counteract the weight loss' affect on your breasts and I would highly recommend scheduling an in-person consultation appointment with a board-certified plastic surgeon. At the time of this consultation and physical exam, the best plan of action can be set forth. Again, congratulations on the weight loss and I wish you all the best!