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Summary

  • Weight loss causes the breasts to sag and lose firmness due to loss of fat and stretched skin and ligaments
  • The size, shape, position and symmetry of the breasts may all be affected by weight loss
  • Losing weight gradually is the best way to reduce breast sagging, but it isn’t possible to prevent it entirely
  • Breast Lift, Breast Augmentation, Fat Transfer to the Breasts and Augmented Mastopexy are the best treatment options to address breast concerns after weight loss

How Does Weight Loss Affect the Breasts?

Although weight loss is a common goal for many people, and there can be many positive effects on your appearance and general health, there are also common downsides, such as sagging of skin and tissue.  

The breasts are an area which is often significantly impacted by weight loss due to them containing a high level of fat and the skin having greater elasticity than other areas of the body.

Some common changes to the breasts that occur with weight loss are:

  • Size: The breasts become smaller with weight loss. 
  • Skin: The skin around your breasts is especially prone to stretching and can lose its youthful elasticity after weight loss.
  • Shape: As the amount of fat in the breasts decreases, the remaining fat may change the shape of the breasts
  • Position: It is very normal for the breasts to sag and hang lower on your chest following weight loss. 
  • Asymmetry: Changes to the position, shape and size of the breasts may not be the same on each side. This can result in the breasts looking uneven.

Weight loss affects the size, shape, position and proportions of the breasts due to changes in fat density and skin elasticity.

Why Does Weight Loss Affect the Breasts?

Losing weight causes the fatty deposits in the breasts to be reduced. The skin that overlays the layer of fat may not be able to rebound into its original shape and position, depending on how much fat has been lost.

The ligaments that support the muscle behind the breasts may also be overstretched and unable to return to their previous position. This leads to changes in the breasts – such as a deflated appearance and feeling.

Although weight loss may result in an overall increase in confidence and self-esteem, many women find they feel self-conscious about the appearance of their breasts following weight loss. This may lead to them feeling uncomfortable about wearing certain clothing, such as swimwear or taking part in activities such as sports.  

The loss of fat, combined with the overstretching of the breast ligaments, causes changes in shape and position after weight loss.

Our Surgeon's Insight

Mr. Roberto Viel, a Consultant Plastic Surgeon with over 30 years' experience, discusses the reasons that breasts can sag after weight loss and the best solutions.

Cadogan Clinic have selected the UK's best breast surgeons to work at our award-winning surgical centre of excellence based in Chelsea, London. 

Our Breast Surgeons

Mr. Roberto Viel

We lose the volume [and] the skin is losing elasticity, so everything goes south. The correction is straightforward…Bring up the breast as it should be.
Mr. Roberto Viel

Can I Lose Weight Without My Breasts Sagging?

In cases of dramatic weight loss, it is very hard to fully prevent sagging due to the extensive stretching of the skin, combined with large amounts of fat being lost.  

However, there are some preventative steps which may help to limit the amount of sagging you experience:

  • Gradual weight loss: by losing weight at a steady pace, the skin will have more time to adjust and form itself to the reduced amount of fat in the breasts. 
  • Strength training: Exercises which strengthen the muscles in the chest, such as push-ups, bench presses, chest presses and chest pullovers, will help to build the muscles which support the breasts. 
  • Moisturisation: Keeping the skin moisturised and hydrated will encourage it to be more supple and bounce back to its original position more easily. 
  • Wearing a well-fitting bra: Wearing the right size of bra will ensure your breasts have the correct support and will prevent sagging.

These steps are not cure-alls, and won’t stop all chances of saggy breasts, however they may help to support and strengthen your breasts to impede the worst sagging.

It isn’t possible to guarantee that the breasts won’t sag after weight loss; however, strengthening the chest muscles, caring for the skin and steadying the pace of weight loss can help to limit the impact.


How Can I Fix Saggy Breasts After Weight Loss?

Surgery is by far the best way to fix sagging breasts following dramatic weight loss.

We offer three different breast surgeries here at Cadogan Clinic, which will help to restore volume and contours following dramatic weight loss: 

Breast Lift (Mastopexy)

Breast Lift, also known as Mastopexy. is a surgical procedure performed under general anaesthetic. The excess skin resulting from weight loss is removed, and the breast and nipple are repositioned into a flattering and lifted position. This is most suited to patients who are happy with their smaller breast size after weight loss, as there is no extra size achieved. Mastopexy surgery takes 2-4 hours to complete. 

Breast Augmentation

Breast Augmentation, also known as Breast Enlargement, or a Boob Job, is a surgical procedure which increases the size of the breasts and enhances their shape using breast implants. The breast implants fill the space in the breast left by the excess skin, caused by weight loss, resulting in a smoother, firmer appearance. The size, shape and brand of breast implants can all be chosen to suit the patient’s desired outcomes, but it is important to take into account your new bodily proportions following weight loss to achieve a balanced and proportionate result.

Breast Augmentation usually takes 1-3 hours to complete under general anaesthetic. 

Natural Breast Augmentation (Fat Transfer to Breast)

For patients who do not wish to use breast implants to increase the size and enhance the tone of their breasts, Fat Transfer to Breast is a popular alternative that uses the body’s own fat, extracted with Liposuction, to fill the space within the breast pocket created by the excess skin. It is not usually possible to gain the same size increase as breast implants can provide, but for patients looking for a natural and subtle result, with an increase of around one to one and a half cup sizes, Natural Breast Augmentation is a good option.

Fat Transfer to Breasts is a surgical procedure carried out under general anaesthetic and usually takes 2-3 hours to complete.

Augmented Mastopexy

Patients who are looking for the lift of a Mastopexy and the added volume of a Breast Augmentation can consider an Augmented Mastopexy (also known as a Breast Lift with Implants). This surgical procedure involves the implants being placed into your breasts before your surgeon removes the excess skin and repositions the breast and the implant into the most flattering position.

This procedure usually takes 3-4 hours and is carried out under general anaesthetic. 

All these surgical breast procedures have a recovery period of up to 6-8 weeks. You will have to wear a surgical bra for this recovery time to support your breasts, prevent swelling and maintain your surgical result. Following your surgeon’s aftercare and recovery instructions is key to preventing complications and ensuring you achieve the desired results you are looking for. 

Your surgeon will be able to explain the best options for you during your consultation and how each of these will help get your breasts back after weight loss.  

They will also be able to show you a range of weight loss before and after photos from other patients who have had surgery to correct their breasts following weight loss. 

Cadogan Clinic, London maintains industry-leading safety and outcomes standards. 100% of our surgical patients would recommend the clinic to their family and friends. All procedures are overseen by our CQC-rated Outstanding leadership team.

Breast Lift, Breast Augmentation, Fat Transfer and Augmented Mastopexy are the gold-standard in treatments to address common breast concerns arising from weight loss.

 

A flow chart showing the different surgical options to treat common breast concerns after weight loss View Surgical Options

Can I Fix Sagging Breasts Without Surgery?

Surgery is the most effective and permanent method to correct saggy breasts caused by weight loss. However, some non-surgical approaches and lifestyle changes may make some small differences to the appearance of saggy breasts. Options to consider are:

  • Maintaining a stable weight: Fluctuating weight is more likely to cause the skin and ligaments around the breasts to permanently stretch. A constant weight is more likely to allow your breasts to stay in a consistent position. 
  • A good posture: Although keeping a good posture won’t fully correct sagging breasts, it will make your breasts appear to be more lifted. Avoid slouching and sit with your shoulders back and your back straight.

It is important to remember that non-surgical and lifestyle options may not provide the same dramatic effects as surgery. If you are concerned about significant sagging that is affecting your confidence and self-esteem, speak to a specialist consultant plastic surgeon who will be able to provide the most effective solutions to your concerns. 

Although breast surgery is the most effective option to address sagging breasts after weight loss, certain lifestyle changes can help to improve the appearance of the breasts and prevent sagging from worsening.


Do Your Breasts Get Smaller When You Lose Weight?

Whilst breasts can get smaller after you lose weight, due to the loss of fat, they do not always get smaller after you lose weight. Size changes may be common, but it depends from person to person, and the exact changes in size may not be predictable.

While many people will experience a reduction in breast size after weight loss, changes in size are variable depending on personal anatomy and the exact amount of weight lost.


How To Stop Breasts from Sagging When Losing Weight?

There is no single way to stop breasts from sagging when losing weight, and preventative action is difficult.  

One strong recommendation, however, is to always avoid rapid weight gain or weight loss and aim instead for a more gradual weight loss process to allow your skin to adapt slowly to changes. 

Gradual, steady weight loss is the best way to limit the amount the breasts sag after weight loss, although it isn’t possible to prevent it entirely.

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Words From Our Founder

Mr. Bryan Mayou

In my long career as a plastic surgeon, I've witnessed the transformative impact of addressing sagging breasts post-weight loss countless times. Weight loss inevitable leads to changes in the body shape, and sagging breasts are a common concern. This can be hugely frustrating and disheartening for patients who have worked hard to reach their challenging weight goals.   The positive outcomes I've observed through surgical breast interventions are profound though, and I have been lucky enough to witness these first hand. Patients consistently express satisfaction with their rejuvenated physical appearance and sense of wellbeing. These positive life changes showcase what safe and effective surgical intervention is all about.
Mr. Bryan Mayou

Frequently Asked Questions

If you are concerned about a loss in breast volume following dramatic weight loss, the most effective treatment option is a Breast Augmentation with breast implants. By inserting silicone implants into the breasts, the space which has been left by lost fat and overstretched skin is re-filled, restoring the size of the breast.

Breast implants come in a wide range of sizes. It is important to balance your breast implant size with your new bodily proportions after weight loss in order to create a flattering and balanced result.

Due to excess skin, the breasts may feel less firm after weight loss. The most effective way to reduce the excess skin and lift the breasts into the correct position is with a surgical Breast Lift, also known as a Mastopexy. This is a surgical procedure, performed under general anaesthetic, and preserves the natural size of the breasts, while improving their position and tone.

Yes, dramatic weight loss can cause breast asymmetry. It is not possible to guarantee that the same amount of fat will be lost from each breast, or that the skin and ligaments will retain the same position and laxity.

For patients concerned about breast asymmetry following weight loss, Breast Augmentation, Fat Transfer to Breast, Breast Lift and Augmented Mastopexy are all suitable treatments.

It isn’t possible to put an exact number on how much weight loss will result in sagging breasts, as this will vary between individuals, depending on their natural anatomy. While one person may find that minimal weight loss causes changes in their breasts, another person may be able to lose an extensive amount of weight whilst seeing very few changes in their breasts.


Treatments mentioned in this article



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