Breast Lifts — Do They Make Your Breasts Smaller?

Breast Lift Little Silver, NJThere is a pre-conception that having a breast lift will make your breasts smaller in addition to lifting them back up to a higher position on the chest. The goal of a breast lift with Dr. Hetzler is to remove the sagging that has occurred with a woman’s breasts. The question is, do the breasts become smaller as a result?

That very question became the object of a recent study by the American Society of Plastic Surgeons on breast lifts and bra cup sizes. The report found that following a breast lift, women reported they were wearing a smaller bra, with an average decrease of one bra cup size. But the cause wasn’t what you would expect — the study found that the difference reflects the changing profile of the breast rather than a true reduction in breast size.

The study details

The study was conducted by Dr. Katie Elizabeth Weichman and her colleagues at New York University. Its results were published in Plastic and Reconstructive Surgery. The sample size wasn’t large, but the results are interesting.

Researchers performed a follow-up survey of 20 women who underwent a breast lift, clinically termed mastopexy, at an average age of 47. All of the patients only had a breast lift, without augmentation or reduction. The study queried these women five years after their surgeries, asking about their bra cup size before versus after breast lift surgery. Weight changes and other relevant factors were taken into consideration.

The women reported an average decrease of approximately one cup size, for instance going from a D to a C. All of the women were wearing the same brand of bra, so there were no variations based upon manufacturer sizing differences.

Maybe not smaller, but different

This reported decrease made the researchers delve further in the “whys.” They wondered why if the breast were being lifted and not reduced, other than excess skin, what was causing the smaller bra cup sizes? The authors of the study chalked this up to the correct bra fit and patient comfort. In the results, they note, “It is well known that most women do not wear the correct bra size.”

The authors then attributed the bra size issues to the difference in the shape of the breasts before and after a lift. Women opting for a breast lift have ptosis (sagging) of the breasts from pregnancy, breastfeeding, and normal aging. The study says, “we contend that the ptotic breast fills out a larger (than actual) brassiere cup size.” This is probably due to more of the breast mass sitting lower on the chest. A larger cup-size bra may be more comfortable in this situation. When the breasts are raised, more mass sits higher, so women opt to have a smaller cup size for reasons of comfort.

Bottom line, at least according to the findings of this study? Having a breast lift does not make the breasts smaller, it simply raises the breast mass back to a higher profile (more akin to where the breasts were when the patient was younger). Of course, this is exactly why a woman wants a breast lift. So, while the patient may buy a one-cup size smaller bra, her breasts won’t be any smaller.

As a side note, all of the 20 women in the study said they were satisfied with the results of their breast lift surgery.

Want to do something about the sagging in your breasts? Call Dr. Hetzler at 732-219-0447 and set up a consultation for a breast lift.

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