Massive Weight Loss Breast Deformity

Revive Your Figure: How to Reshape Your Breast After Weight Loss

It is not uncommon for women to develop a negative body image after weight loss, as they may feel disappointed that their appearance does not match their expectations. The impact of these physical changes on a woman’s psychology can extend beyond body image issues. It can also affect social interactions and relationships. A woman may feel uncomfortable or anxious about intimate situations, struggling with feelings of insecurity or inadequacy. The changes may also influence clothing choices, as some individuals may avoid certain styles or materials that showcase the loose skin or saggy breasts, limiting their fashion choices and potentially affecting their overall self-expression. It is important to remember that each woman’s experience with weight loss and its impact on her psychology is unique. Seeking support from healthcare professionals, therapists, or support groups can be immensely helpful. These professionals can offer guidance, advice, and emotional support to help navigate the psychological impact of massive weight loss and assist in building a positive self-image. Additionally, exploring surgical options such as skin removal procedures or breast lift surgeries with a qualified plastic surgeon may be an option for some individuals, if deemed appropriate and desired. Ultimately, it is crucial for a woman to remember that her self-worth is not solely determined by her physical appearance or the changes that occur after weight loss. Emphasizing overall health, self-acceptance, and self-care can play a significant role in cultivating a positive mindset and empowering women to embrace their bodies through this transformative journey.

The dramatic results of significant weight loss are something to be proud of. You will be looking better, feeling better, and have better overall health. However, massive weight loss can have significant effects on the skin and breast shape, which can in turn impact a woman’s psychology. When someone loses a large amount of weight, the skin can become loose and saggy as it loses elasticity. This is particularly common in areas such as the abdomen, arms, thighs, back and buttocks. The breasts, too, can lose volume and firmness, causing them to sag. The effect of these physical changes on a woman’s psychology can vary from person to person. Some individuals may feel proud of their accomplishment and the healthier lifestyle they have adopted while others, the loose and sagging skin, as well as changes in breast shape, can lead to feelings of self-consciousness, dissatisfaction, and even body dysmorphia.



The Best Options for Breast Surgery After Weight Loss

The patient who has experienced significant weight loss poses a unique challenge for breast reshaping surgery and requires a higher level of technical skill. This is because their breasts have undergone severe volume loss & atrophy, resulting in distorted shape with displaced breast tissue plus the quality of skin mostly inelastic skin, making correction of  the deformity very challenging.


Goals of breast reshaping surgery

  • Use all available breast tissue while maintaining the ability to recruit additional autologous tissue.
  • Address nipple position.
  • Restore superior, Pole projection.
  • Reshape the skin envelope without relying on it for support
  • Eliminate the laterally skin roll or hanging skin if the patient has it.
  • Fix the deviated axis of the breast with the back area.


Several surgical options available to reshape the breasts. Some of the commonly performed procedures include:

  1. Breast lift (Mastopexy): This procedure involves removing excess skin and tightening the surrounding tissues to lift and reshape sagging breasts.
  2. Breast reduction (Reduction mammoplasty): If the breasts still overly large and heavy after weight loss, a reduction mammoplasty can be done to remove excess breast tissue and skin, providing a more proportionate size and shape.
  1. Breast augmentation (Augmentation mammoplasty): If the breasts have lost volume after weight loss, breast implants can be used to increase their size and restore fullness.
  2. Breast lift with augmentation: This is a combination of breast lift and augmentation, which can address both sagging and volume loss.
  3. Fat transfer to rejuvenate breasts after massive weight loss is a highly beneficial procedure, especially when enriched with adipose-derived mesenchymal stem cells (ADMSCs).

This innovative technique utilizes the patient’s own body fat to naturally enhance and reconstruct the breasts, addressing the changes that occur due to significant weight loss. While traditional breast augmentation with implants has been a popular solution for many years, fat transfer provides a more natural and long-lasting option for breast rejuvenation.

Many massive weight loss patients undergo multiple body contouring procedures, and the breast re-shaping procedure must be in context with the overall surgical plan. The breast mostly in combined with belt lipectomy or upper body lift.

The first step of the process involves harvesting excess fat from the surgical site (abdomen,arm)


This fat is carefully processed to extract pure and viable adipose-derived mesenchymal stem cells, which possess powerful regenerative properties. These stem cells have the ability to promote the growth of new blood vessels, enhance tissue regeneration, and improve the overall quality of the transferred fat. Once the adipose-derived mesenchymal stem cells are obtained, they are combined with the processed fat and meticulously injected into the breasts concentrating into subcutaneous layer of the breast to improve the quality of the skin plus the Decollete area and breast cleavage to gain back the femineity of the breast. The result is a more natural and youthful appearance, with added volume, improved contours, and reduced sagging. The combination of fat transfer with ADMSCs not only provides aesthetic benefits but also encourages the rejuvenation of the breast tissue itself. One of the significant advantages of this procedure is it can be combined with all other procedure including breast implant and breast reduction to rejuvenate the breast skin quality as the enriched fat will inject only under the skin, cleavage and De collate areas .

The natural fat obtained from the patient’s body provides a more harmonious and soft result, blending seamlessly with the surrounding breast tissue. Additionally, the injected stem cells contribute to the long-term success of the procedure, enhancing the survival and integration of the transferred fat. Furthermore, fat transfer enriched with ADMSCs promotes tissue regeneration and stimulates collagen production in the breasts. This can lead to improved skin texture, increased firmness, and a more youthful appearance. The regenerative properties of ADMSCs also contribute to the healing process and reduce complications, making it an ideal choice for patients seeking breast rejuvenation after massive weight loss. It is important to note that fat transfer with ADMSCs should be performed by a skilled and experienced plastic surgeon who specializes in this technique. They have the expertise to ensure a safe and successful procedure, taking into consideration the patient’s unique needs and goals.


Important to Know

Fat grafting enriched with adipose-derived mesenchymal stem cells represents a significant and innovative approach for breast rejuvenation following substantial weight loss. This method yields results that are natural in appearance, facilitates tissue regeneration, and delivers a durable solution for addressing the effects of weight loss. It presents a beneficial choice for individuals desiring a breast that not only looks but also feels natural. Moreover, it serves as a practical substitute for conventional breast augmentation using implants or can be employed as a hybrid augmentation method, which enables the use of smaller implants, thereby reducing potential complications for the patient and yielding superior long-term outcomes.