I've been on a weight loss journey (50 lbs!) but still want to lose another 10-15 pounds. My breasts are so saggy and I'd love to have them fixed ASAP. Do I have to wait to lose the last 10-15, or could I move forward looking for a surgeon right now?
Alway best to be closest to your "ideal", stable weight to help with planning as well as for your general health and healing after surgery.
Published on Jul 11, 2012
With 10 -15 pounds weight change should not make a huge difference. It is always best, however, to address this question to the surgeon who is going to perform the surgery and who is more familiar with the size and shape of your chest. Wishing you the best of health, Dr Wright.
Published on Jul 11, 2012
The optimal candidate for surgery is healthy and has reached a healthy and stable weight at which they are content (preferably with a BMI < 30).
With regard to your specific question, if you are seeking further weight loss, I recommend stabilization prior to surgery. This is not an absolute but will optimize outcomes.
As always, discuss your concerns with a board-certified plastic surgeon (ABPS).
Published on Jul 11, 2012
There is no wrong answer for this question. You could wait until you are at your goal, but will your breasts change much more with 10lbs? Will you be able to lose the last 10-15lbs or are you at a stable weight right now? Just know that if you do the surgery now, anticipate the breasts getting a little smaller with the weight loss, so take that into consideration when figuring out your goal size/shape.
I hope this helps,
Dr. Christopher Pelletiere, MD
Published on Jul 11, 2012
For my patients, when you are that close to your goal (within 10 pounds), I think it's reasonable to seek a consultation with a board-certified plastic surgeon and plan a date for your breast augmentation and breast lift. BTW, my concept of a stable weight is +/- 5 pounds over a few years.
Published on Jul 11, 2012
After 50 pounds (congrats), the last 10-15 should not make a visible difference. Go for the surgery as this will help you to feel better about yourself and support your continued success.
Published on Jul 11, 2012
Thanks for you question. It's great you lost the weight, it was a difficult task for sure. Most often you will need a breast lift and implants together. However, another 10 pounds should not matter that much.
Published on Jul 11, 2012
Yes, it's best to lose your weight before having surgery so that you can achieve the best results. Best wishes.
Published on Jul 11, 2012
My personal preference is for you to be within 20 pounds of your goal weight prior to surgery.
Published on Jul 11, 2012
If a patient is losing weight, it is frequently advisable to wait until she reaches that weight. "Ideal" weight (BMI less than 25) may be unreasonable for some patients. But patients who are overweight can have fabulous results with larger implants if their body habitus is and has always been large. The patient must realize that the breast size will change with weight loss and weight gain.
Published on Jul 11, 2012
Thank you for your question, and congratulations on your weight loss. I understand your frustration and desire to improve your breasts ASAP; however, I recommend you wait until you are within 5 lbs of your goal weight to ensure that the maximal amount of skin can be removed and the appropriate implant is selected for your breast volume if an augmentation mastopexy is performed. You can begin meeting with board-certified plastic surgeons now to prepare for your surgery. Good luck!
Published on Jul 11, 2012
It would be best to wait until you reach your goal. If you were to lose more weight, you may lose some of your breast tissue and may also sag more. Its not a bad idea to start looking for a surgeon, but hold off on the surgery as much as you can until you are closer to your goal, perhaps 5 pounds. If you had the surgery and then lost the weight, your breasts may end up smaller and more saggy than you would have wanted. Best of luck.
Published on Jul 11, 2012
Hi, there! Thank you for your question, and congratulations on your weight loss! I would certainly recommend going ahead and having a consultation with a board-certified plastic surgeon, as 10-15 pounds will likely not make much difference in your outcome.
Published on Jul 11, 2012