Breast Uplift After Major Weight Loss

A personalised assessment helps you choose the safest, most effective approach 

Many women find that after significant weight loss — whether through lifestyle change, bariatric surgery, or modern medications such as Mounjaro (Tirzepatide) — their breasts change shape dramatically.

Volume reduces, skin stretches, and the breast loses its natural support.
This often leads to:

• Drooping or ptosis 
• Loss of fullness in the upper breast 
• A “deflated” look despite being lighter and healthier overall
   

A standard breast uplift (mastopexy) can help, but weight-loss breasts come with extra challenges, especially when skin elasticity and breast shape has been lost.

 In many weight-loss patients:

• There is no breast tissue in the upper breast
• It's all in the lower half of the breast
• There is more excess skin 
• The central breast lacks support 
• The nipple–areola complex sits very low
   

A routine Wise pattern or LeJour breast uplift can flatten the breast or place too much tension on incision lines, increasing the risk of:

• Wound breakdown 
• Poor scarring 
• Loss of shape over time
   

Most importantly, it may not restore enough fullness to the upper and central breast, where many patients most want projection.

Breast uplift performed by folding the lower half of the breast (B) back up, behind the upper and central breast (A). This allows your surgeon to keep most of the breast tissue and restore volume to the central and upper breast.

 What this does

Rather than discarding all excess skin and tissue, we preserve and reshape it, using it to remodel the breast:

• The tissue from the lower part of the breast is lifted internally
• It acts like a natural internal “auto-implant”
• The breast is supported from within
• Shape and fullness return to the centre and lower pole
• The result is longer-lasting and less reliant on skin tension

This technique reduces stress on incision lines and helps maintain breast shape over time.

Because blood supply can be stretched or unreliable after weight loss, the nipple–areola complex (NAC) sometimes needs a different approach.

In selected cases, we may use

Superior pedicle (standard)

Used when:

• The nipple stays attached to its blood supply
• Suitable in most uplifts

Nipple grafting

Used when:

• The nipple needs to move a long distance
• Blood supply is at risk
• The inferior flap needs all remaining tissue for shape

In nipple grafting, the nipple is carefully lifted, protected, and placed into its new position like a skin graft. It then heals onto the reshaped breast tissue.

This can:

• Reduce the risk of nipple areolar necrosis
• Preserve maximum volume in the flap
• Achieve better projection and symmetry

 To create a breast that:

• Feels natural 
• Looks fuller and lifted 
• Matches your new body shape 
• Ages more gracefully than a skin-only uplift
   

Every breast is unique, and after major weight loss the starting point varies widely, which makes pre-operative planning and technique selection critical.

If you have experienced major weight loss and are thinking about breast uplift surgery:

• You’re not alone — it’s one of the most common requests after transformation weight loss 
• A personalised assessment helps you choose the safest, most effective approach 
• We will discuss risks, expectations, nipple sensitivity, scar patterns and recovery in detail