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Why do breasts sag after weight loss and what can I do?

Breasts sag after weight loss because the ligaments that support the breast and the breast skin only have a limited ability to retract as the fatty element of the breast lose volume.

The skin envelope is relatively larger and the internal ligaments are overstretched by this point.

This effect can be compounded by genetic variance in skin elasticity and natural collagen levels. Patients, who naturally have large breasts, will also always suffer more than those with a flat chest since there is a greater weight and more to sag. Pregnancy can have the same effect.

The solution is to remove the sagging skin by breast lift (mastopexy) or increase the volume via a breast augmentation or natural breast augmentation, or a combination of the two.

The Detail

As you gain weight, the fatty tissue in your breast expands as it does in all areas of the body. This makes the breast area heavier and larger, putting more strain and pressure on the connective tissue and ligaments that connect the breast to the chest.

When you then lose that extra weight, the fatty tissue in the breast shrinks away, but does not tighten the stretched underlying supportive ligaments.

The overall effect after weight loss is therefore a noticeable deflation of volume in the breast envelope, and the appearance of inelastic pocket of excess surface skin. This 'sagging' is often perceptible to the eye, and the cause of a degree of psychological distress.

The Solution

There are three key surgical treatments to correct breasts after you have lost weight and they have sagged, and to restore their original volume and contours.

  • Breast Lift (or Mastopexy) – to lift the breast into a newly elevated position, and with its original contours
  • Breast Augmentation – to increase the volume of the breast via a breast implant, leaving a smoother, firmer appearance as the excess skin is draped over a larger breast mould
  • Natural Breast Augmentation (Fat Transfer) – to increase the volume of the breast via the injection of the body’s own fat, harvested from other areas of the body by liposuction. When injected at enough volume, the fat re-inflates the breast to its previous capacity

It is also very common to combine a lift procedure with an augmentation procedure of your choice for the optimal outcome. Your specialist breast consultant can answer all of your questions and provide guidance at your consultation.

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Breast Lift (Mastopexy) Before & After Gallery

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Breast Lift (Mastopexy) Before & After Gallery

For some examples of our Breast Lift (Mastopexy) before and after results, please take a look at some our photo gallery.

In The Press This Week

This month Cadogan Clinic consultants feature in Glamour Magazine and The Strategist discussing facial oils and skin issues related to face masks, whilst Clinic Founder Mr Bryan Mayou discusses post-lockdown trends in the plastic surgery market and a faster than expected rebound for the sector

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