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Breast Reduction or Lift?

As women age or experience various life events, factors like genetics, gravity, hormonal changes, and weight fluctuations can contribute to sagging breasts. When contemplating solutions, the choice between breast reduction and a breast lift arises. This article delves into the reasons behind breast sagging and explores the considerations for opting for either a breast reduction or lift.

Factors Contributing to Breast Sagging

Understanding the causes of breast sagging is crucial before deciding on the appropriate procedure. The key factors include:


1. Genetically poor skin elasticity

2. Gravity and lack of consistent bra use

3. Advancing age

4. Pregnancy and breastfeeding

5. Weight loss and gain

6. Hormonal changes

Different Approaches to Breast Lift

The extent of breast sagging determines the type of breast lift needed. Various techniques involve removing skin from different areas:



· Periareolar: Skin removal above the areola

· Circumareolar: Skin removal around the areola

· Vertical: Skin removal around and below the areola

· Anchor: Comprehensive removal around and below the areola and under the breast


All sutures are strategically placed under the skin to optimize scar appearance.

Impact on Cup Size and Consideration for Implants

It’s essential to recognize that breast lift procedures typically lead to a decrease in cup size. If there’s an empty skin envelope, the addition of implants (saline or silicone) may be recommended to achieve upper pole fullness. However, individuals with ample breast tissue may not require implants, and the option can be considered at a later date.

Candidates for Breast Lift

Candidates for a breast lift should be relatively healthy, with a medical examination recommended for those over 50 or with significant medical issues. A normal mammogram is essential for those over 40, and candidates must not smoke. A preferred Body Mass Index (BMI) of less than 30 is advisable. Recovery involves one week at home, avoiding heavy lifting, exercise, or swimming for 4-6 weeks. A post-operative bra or sports bra is recommended for one month. With effective scar care techniques, incisions can become barely visible after 6-12 months.

Breast Reduction for Pendulous Breasts

Breast reduction is designed for women with large, pendulous breasts, offering relief from issues like neck and back pain, rashes under the breast, and grooving from bra straps. The procedure involves removing excess breast fat and tissue, decreasing areola size, and lifting the areola. Similar to a breast lift, the surgery takes 2-4 hours, with one week of recovery. Scars typically fade over time with proper aftercare.

Achieving Natural Results

Whether opting for a breast lift with or without implants, natural-looking results are achievable. The process involves wrapping the excess skin around the implant, preventing a “stretched” appearance. Moreover, limitations exist on implant size to ensure compatibility with the reduced skin envelope.


In conclusion, choosing between a breast reduction and lift involves careful consideration of individual factors and desired outcomes. Consulting with experienced professionals at GLOJAS ensures personalized guidance and effective solutions for achieving the desired breast appearance. Embrace the journey towards rejuvenated and confident self-esteem.

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