Advice for Sagging Breasts After Weight Loss?

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?

Doctor Answers 38

Breast Surgery Following Weight Loss

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         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

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Congragulations!  You did a remarkable thing for your health!  Yes your breast can and will look better with mastopexy with implants.  Find a Board Certified Plastic Surgeon in your area and have a thorough discussion about your expectations.

Breast Surgery after Weight Loss

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There are multiple techniques to achieve excellent breast results after weight loss. From the surgical standpoint, the best option for rejuvenating the breasts after losing weight are either a breast augmentation and/or a breast lift. Sometime a combination of the two procedures will provide the best results possible. As long as you are willing to have a scar, you can anticipate lifted, perkier and larger breasts. Depending on your anatomy, the type of scar can vary. Sometimes, a circular scar around the areola will be sufficient, other times a keyhole of lollipop type or anchor scar may be needed. Hope that helps!

Joshua Kreithen, M.D.
Sarasota, FL

Breast lift

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Hello, thanks for your question. After bariatric surgery or an extreme weight loose, breast can change its shape, become saggy and a non atractive appearance may be noticeable, a breast lift with or without implant may improve this shape. Returning the perkiness of the breasts.

Costs for this procedure are around US$2,800 to US$3,000.

Kemil Issa, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast enhancement

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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:

  1. Breast lift alone (mastopexy)
  2. Breast lift combined with a small breast implant (below the muscle)
  3. Breast lift followed by a large breast implant (2 separate procedures)
  4. 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
  • Cost
  • Down time
  • Scars
  • 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.

Good Luck!

Sagging breasts following weight loss

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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

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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!

Breast lift question

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 Thank you for your question. The situation you describe is the most common I see in my patients who require breast lift surgery. After massive weight loss the skin sags because of a loss of elasticity, as well as skin tone. In addition during pregnancy hormones will change skin quality and type.  Pictures would be necessary as well as an in person exam. However in your circumstance most patients want fullness on the upper part of the breast back, as well as a reshaping procedure. For this, you would require a breast implant as well as a lift. The implant would give the proper volume and fullness to the upper aspect of the breast. While the lift would reshape the tissues raise the nipple and tighten the skin. I think this is an excellent operation when done safely. Patients are often concerned about the quality of the scars, however I feel that the benefits of the reshaping procedure far out we the consequences of scarring. Only an in person consultation will let you determine what size implant would be properly involved and answer your questions regarding the operation and recovery. Hope this helps and good luck!

Kailash Narasimhan, MD
Saint Petersburg Plastic Surgeon
5.0 out of 5 stars 18 reviews

Are there any suggestions for sagging breasts following weight loss?

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When many women lose #weight, their breasts lose weight as well. There may also be some sagging of their breasts due to the weight change. These women are potential candidates for a breast lift. A #mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. Those with breast #sagging or #ptosis experience improvements with the surgery. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired as well. Also, during the procedure, the nipple and areolae can be corrected, if necessary, to the desired size and at the correct height. All in all, an elevated, more youthful breast can be a satisfying result for the patient following their #weightloss.

Sagging Breast after Weight Loss

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Mastopexy is a procedure to move the nipple areola to a normal position, reduce the areolar size to a youthful diameter, remove and even up sagging tissue, and create a fuller more youthful shape to the breast mound. it can often be done without an implant as long as you understand that you will be slightly smaller after the surgery and not have as much cleavage and upper pole fullness as women that choose an implant. Look at lots of picture of before/after of women with and without implants and decide what is right for you. Good Luck!!

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.