Mastopexy for sagging breasts after weight loss

Q & A’sCategory: BreastMastopexy for sagging breasts after weight loss
AvatarMandy asked 2 years ago

I am 45 and have 2 children – 9 and 15 yrs old, both of whom were breastfed. I do not plan on having any more children. From my heaviest, I have lost almost 30kgs, and maintained this for over 4 years. I love my hourglass figure and am happy with the size of my breasts (14-16 E) but my breasts are sagging. Having had large breasts all my life, I have always suffered neck and upper back pain – regularly requiring chiropractic and remedial massage to prevent migraines. I have grooves in my collar bones from my bras holding the weight of my breasts. I have private health cover. Is a breast lift an option, and what is the likelihood of a rebate from bupa or medicare?

2 Answers
Dr Justin PerronDr Justin Perron Contributor answered 2 years ago

Hi Mandy!!
thanks for your question regarding how to manage this issue with your breasts after weight loss. Certainly it can be a big decision to consider Breast reduction surgery after having large breasts!! From what you describe, you would certainly qualify for a Breast reduction from your Heath fund. Breast reduction surgery is aimed at not only decreasing the size of the breasts, but also to lift, and reshape as well. The reduction can be performed a little more conservatively to preserve volume, and in some circumstances, I would also use fat grafting to add volume to the upper pole of the breast to improve overall shape as well! It is a very customizable procedure depending on the look you want to achieve.
I hope this helps answer some of the question you might have! Good luck in your journey!!
Justin Perron

Dr Justin Perron

Dr Justin Perron is a Canadian born, Australian-trained Plastic and Reconstructive and Cosmetic Surgeon. He keeps up to date with the latest trends in Plastic Surgery, and maintains current knowledge in this broad and diverse field.

Mark MagnussonMark Magnusson Contributor answered 2 years ago

Symptoms of upper back pain, shoulder grooves and dragging due to the breast weight is likely best address by breast reduction rather than a breast lift. There is still Medicare and health fund assistance for some patients who have breast ptosis/sag after breastfeeding but there are restrictions. The nipple needs to sit below the fold under the breast, the youngest child between one and seven years of age and from November one this will change further. It will be an additional requirement that 2/3 of the breast tissue sits below the fold under the breast.
For breast reduction surgery, there are no qualifications as such and patients receiving a breast reduction are eligible for Medicare and health fund assistance.
Dramatic improvements in breast shape occur with a moderate breast reduction because of the attention to the breast ptosis. The benefit of a breast reduction in this instance maybe addressing those symptoms that are associated with the breast size such as the pain between the shoulder blades, grooves in the shoulders, neck pain, headache, rashes beneath the breast (especially in summer), And inability to exercise due to exacerbation of these symptoms, difficult to find clothes that fit properly and being self-conscious of the breast size.(I realise that all of these symptoms won’t mention but they are very common).
Additionally, improvement of the symptoms can be very dramatic and in fact once we take 250 g or thereabouts from each side there is not a great deal of evidence that further reduction improve symptoms. I moderate reduction is therefore very effective for most patients.
These are common plastic surgical procedure, you will be best assisted in the care of a specialist plastic surgeon with a focus on breast surgery.

Kind regards

A/Prof Mark Magnusson

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