American Society of Plastic Surgeons
For Medical Professionals
Sick of Sagging
5 years ago

To lift or to lift and reduce

Hello, I have had sagging but large breast for most of my life. I am currently overweight, but my breast have always been large in spite of my weight. The size does not cause me any discomfort or health issues. I want to keep my breast size, but I need some heavy lifting. So, my question is: At a size 44G, am I able to simply get a lift or will a lift require a reduction?

Procedure: Breast Lift
Location: omaha, NE

Replies 9

Steven Wallach
ASPS Surgeon
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Without seeing you in person it is difficult to say, but likely some form of reduction is likely appropriate

Larry Weinstein
ASPS Surgeon

It sounds like your body has 42 G s that are proportional to your body but saggy. A cosmetic lift can be done by a board certified Asaps plastic surgeon. It would be difficult for most plastic surgeons not to reduce such huge breasts at the time of lift. Good luck.

Debra Johnson
ASPS Surgeon

While you don't have symptoms related to your large breasts, you might well suffer from neck, back, and shoulder pain in the future due to your large breast size. Simply lifting the breasts will improve their look in the short term, but gravity will likely cause the breasts to droop again due to their heavy weight.

It would certainly be better for your overall health, and for the longevity of your surgical result, if you were able to reduce your weight prior to undergoing any breast surgery.

Ultimately, making your breasts proportional with the rest of your body will make it easier to find clothing that fits well, as you will not have to "size up" just to fit your breasts.

Use the Find-A-Surgeon tool on this website to locate a board-certified plastic surgeon in your area and discuss your goals. Good luck on this journey!

Susan Buenaventura
ASPS Surgeon
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It is always possible to do just a lift, but removing some breast tissue helps shape the breasts. It is your choice whether you want to have your breasts made smaller. With regard to your weight, elective surgery is safer if your body mass index is around 30 or lower. Find a board certified plastic surgeon in your area for consultation. Best wishes!

Nelson Castillo

Thank you for sharing your question. Based on your current breast size I would advocate for a reduction and lift procedure in order to provide you with the most stable, long-term result. Hope that this helps.

Bahram Ghaderi
ASPS Surgeon

Hello and thank you for your question. It is hard to give a recommendation without an in person evaluation. I would recommend researching board certified plastic surgeons in your area and schedule a consultation. At that point, a plastic surgeon could give you a personal suggestion on which procedure (or both) to proceed with. I hope this helps!

Best wishes,

Dr. Bahram Ghaderi

Rezarta Kapaj
ASPS Int. Surgeon

I believe the best way is to loose some extra weight first. Sometimes patients have breast reduction surgery and then loose weight and the breasts become too small for their bodies. I would not go for lift without reduction for that size, it might look nice for the first months but it will eventually drop because of heaviness. You should consult a board certified surgeon in your area for all the options.

Edward Domanskis

You could get a lift with any size of breast that you are.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

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Jon Ver Halen

Hello and thank you for your excellent question. I suggest you look into a technique that will lift the breast, but not necessarily reduce the breast size. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!


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