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Patients who lose a significant amount of weight often lose volume in their breasts. However, the skin envelope of the breasts may not shrink to the same degree as the breast tissue, leaving a deflated, saggy appearance. The breasts may appear flat on top with the nipple pointing down instead of straight out. Patients describe their breasts feeling “empty” or like a “bag of sand.”


The excess skin of the breasts after massive weight loss can be addressed with a mastopexy, or breast lift. In this operation, the excess skin is cut away, and the nipple is lifted to a more natural, youthful position. The breast tissue is then shaped, and the remaining skin is draped over the shaped breast and sutured back together. The goal of a mastopexy is to reposition the nipple, and add fullness and lift to the breast.

Some patients lose so much breast volume after massive weight loss that they require a breast augmentation with an implant in addition to a breast lift. The implant is often placed at the same time as the mastopexy; however, in certain instances, the operation needs to be staged to protect the skin.

The scars from a mastopexy vary depending on how much skin needs to be removed. For massive weight loss patients, a large amount of skin excision is usually required. The resultant scar is around the areola, straight down to the inframammary fold, and across the inframammary fold, like an upside-down T or an anchor.

Complications are rare, but may include bleeding, infection, difficulty with wound healing, asymmetry, skin loss, seroma (fluid collection requiring a drain), prolonged numbness, hypertrophic scarring, and need for revision.

Breast Surgery After Weight Loss

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Breast Surgery After Weight Loss

Practice Policy Update Regarding COVID-19 View Update

Practice Policy Update Regarding COVID-19

Starting Monday, May 11th we will resume seeing patients in the office. Initially, you can expect digital check-ins, eliminating the need for a crowded waiting room, as well as the option for virtual appointments upon request. In addition, we have implemented the following changes:

  • Daily health screenings for our employees.
  • Mandatory facial coverings for employees and patients.
  • Enhanced cleaning and disinfecting protocols.
  • Appointment check-in process allowing patients to wait in the safety of their own vehicles.
  • Optimized use of our patient portal to offer contact-free communication and payment options.
  • Complimentary shipping for all skincare products.

Prior to appointments, patients will be asked to fill out a COVID-19 questionnaire. If you are experiencing any of the symptoms posed by the questionnaire, you will be asked to postpone your appointment and a virtual visit will be arranged.

We appreciate your cooperation as we transition to this new way of practicing medicine. Our goal is to provide the treatment and service you are accustomed to, even though it may look a little different than it has in the past.

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