Many of the patients I see coming in for information on breast reduction surgery are overweight. In today’s blog post I am going to discuss how being overweight can affect breast size, and whether or not you should lose weight prior to considering surgery. Let’s break it down into several commonly-asked
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Will my breasts be smaller if I lose weight?Maybe, maybe not. Breasts are composed of both fat and glandular tissue. Younger women tend to have more glandular tissue, whereas older women tend to have more fat. If you lose weight, the amount of glandular tissue does not change, so if your breasts are largely glandular tissue, you won’t see a dramatic size decrease. In addition, everybody loses and gains weight differently. I tend to gain weight in my hips and thighs, whereas another person might gain weight in her stomach. So losing weight in and of itself is no guarantee that your breast size will decrease. What if I lose weight after I have breast reduction surgery?The answer to this question is similar to the question above. You may or may not see a decrease in breast size if you lose weight. The more weight you lose, the more likely you are to see a change in your breast size. An if your breasts do decrease in size, they can become droopy (ptotic). I generally recommend to my patients that if they are planning on losing more than 25-30lbs, they should try to do this prior to having breast reduction surgery. What if I’m happy at my current weight, even if I am overweight?We all have dreams, er… goals, of losing that last 10, 15, or 20lbs right? If you are considering breast reduction surgery, ask yourself honestly if you have a plan of losing weight, or if it’s just a dream. It’s okay to be happy at your current weight. But my goal as a surgeon is to perform a safe operation and minimize the risk of complications, and a patient’s weight does affect the risk of complications. A study published in Plastic and Reconstructive Surgery looked at the number of complications after breast reduction in 675 patients. They noted a significant association between body mass index (BMI) and complication rate. This complication rate increased significantly when BMI was 35.6 or larger. In my own practice, I balance the risks of surgical complications with the benefits a patient is likely to obtain from having a breast reduction. I often ask patients with a BMI>35 to lose weight prior to surgery, especially if they have other risk factors such as diabetes or a history of smoking. There are no hard and fast rules regarding weight, but understanding a patient’s weight loss goals is an important part of the surgical decision-making process. I'm 5'1", 18 years old, and 290 pounds. I have G cup breasts and they put a tremendous strain on my body. I developed breasts at a very young age, 6 years old, and they've grown rapidly since then. I have back, neck, shoulder, and chest pain from my breasts. It's very hard to exercise when my breasts are as large as they are. Is it possible I could have a breast reduction done while I'm overweight?
Answer: Reduce your weight before getting surgery.Book a virtual consultation Answer: Reduce your weight before getting surgery.Book a virtual consultation March 24, 2018 Answer: BMIBook a virtual consultation March 24, 2018 Answer: BMIBook a virtual consultation March 23, 2018 Answer: Can I have a breast reduction while overweight?Book a virtual consultation March 23, 2018 Answer: Can I have a breast reduction while overweight?Book a virtual consultation March 22, 2018 Answer: 290 and BBR?March 22, 2018 Answer: 290 and BBR?
Breast reduction: safe in the morbidly obese?Kendall Roehl et al. Plast Reconstr Surg. 2008 Aug. AbstractBackground: With an increasing obese population, plastic surgeons are consulted by women requesting larger breast reductions, with body mass indices in the obese to morbidly obese range (30 to >or=40 kg/m) and breasts considered gigantomastic (>2000 g resected from each breast). There have been few descriptions of outcomes in the morbidly obese population. Previous literature reports high complication rates in obese women and large-volume breast reductions. Methods: Retrospective investigation of 179 reduction mammaplasty patients was performed out to determine whether reduction mass, age, body mass index, smoking, method used (i.e., vertical pedicle, inferior pedicle/central mound, or free nipple graft), and comorbidities influenced complication rates. The patients were categorized by size of reduction, age, and body mass index. Results: The overall complication rate was 50 percent. There was no statistical difference in the incidence of complications attributable to size of reduction, age, or body mass index (p = 0.37, p = 0.13, and p = 0.38, respectively). Also, smoking status, method used (p = 0.65 and p = 0.17, and p = 0.48 and p = 0.1, respectively) and comorbidities had no effect on complication rates (reduction size, p = 0.054; age, p = 0.12; and body mass index, p = 0.072). There was no significant increase in the rate of complications for each body mass index group based on the reduction mass (p = 0.75, p = 0.89, p = 0.23, and p = 0.07). Conclusion: It is as safe to perform large-volume breast reductions in the morbidly obese patient with comorbidities as in anyone else. Similar articles
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How much do you have to weight to get a breast reduction?While it is possible to have a breast reduction at your current weight, it is certainly safer for you to lose weight to at least under 200 lb. , and preferably more. If you lose weight prior to surgery, your breast shape will be better and more stable than if you lose it after.
Do you need to lose weight to have a breast reduction?Being at or near your ideal weight is crucial before undergoing breast reduction. Losing weight will give you a better chance of loving your results and make matching your ideal bust size to your new body shape easier. However, many patients struggle with weight loss and do not know where to start.
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Can i get a breast reduction if im overweight
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