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How Do Breasts Change with Age?

While pregnancy, breastfeeding, and environmental factors can cause changes in the breasts, the natural aging process also has a major effect on how the breasts look and feel over the passage of time. The aesthetic transformations that occur in breast tissue as a woman ages can often impact their self-esteem and body image. Fortunately, for individuals who would like to effectively counter these age-related changes, there are treatments available from our board-certified plastic surgeon in Houston, Dr. James F. Boynton, that can restore the appearance of the breasts in several ways. First, let’s review some of the common ways the breasts may change over time:

Aesthetic Changes in Breast Tissue Due to Aging

Loss of Volume and Fullness
A significant loss of volume and fullness in the breasts may occur as one ages. This can be due to a decrease in glandular tissue and an increase in fatty tissue. A reduction in estrogen levels, especially during menopause, may accelerate this process, making the breasts appear “deflated” and less perky.

Ptosis (Sagging/Drooping)
One of the most noticeable changes that can occur from the aging process is the development of sagging skin, medically known as ptosis. Gravity, combined with the natural loss of skin elasticity and the weakening of connective tissues supporting the breasts, can lead to a drooping appearance. The nipples may also point downward, and the breast tissue can settle lower on the chest.

Changes in Skin Texture and Elasticity
Aging affects the skin’s collagen and elastin, essential proteins that maintain skin firmness and elasticity. Over time, the skin around the breasts becomes thinner and less resilient, which can produce a sagging and/or wrinkled appearance. Additionally, stretch marks that formed earlier in life may become more prominent as the skin loses its elasticity.

Altered Symmetry and Shape
Breasts can become uneven as they age. This asymmetry can be due to a variety of factors, including the differential loss of tissue volume and changes in skin elasticity. The shape of the breasts may also change, with a broader base and a less defined contour.

Addressing Age-Related Changes with Plastic Surgery

Breast Augmentation
Breast augmentation is a popular solution for restoring lost volume and enhancing the overall size and shape of the breasts. This procedure involves the insertion of implants into the breast tissue. By selecting the appropriate size, shape, and type of implants (silicone or saline), Dr. Boynton can tailor the results to an individual’s aesthetic goals, creating a renewed appearance.

Breast augmentation can:

  • Restore fullness and volume
  • Enhance the natural contour of the breasts
  • Improve symmetry and shape

Breast Lift (Mastopexy)
A breast lift, or mastopexy, specifically addresses sagging (ptosis) and repositions the breasts to produce a more youthful projection. This treatment typically involves removing excess skin, tightening the remaining tissue, and moving the breasts and nipples to a higher location. A breast lift can:

  • Elevate and reshape sagging breasts
  • Improve breast contour and projection
  • Reduce the size of enlarged areolas

Combination Procedures for Comprehensive Rejuvenation
A breast lift can be performed alone or in combination with breast augmentation for optimal results, particularly when both volume loss and sagging are concerns. A breast augmentation with lift procedure addresses both conditions simultaneously to create a fuller, more “perky” appearance. The combined treatment can ultimately enhance the overall balance and proportion of the breasts, contributing to a more youthful silhouette. Additionally, a breast augmentation, breast lift, or combination of the two are common selections to include in a comprehensive Mommy Makeover.

These procedures offer solutions to restore volume, improve shape, and lift sagging breasts, helping patients regain confidence in their appearance.

How Breast Implants Can Change Over Time

In the sections above we explored how the natural tissues of the breasts change with the aging process and what can be done to address those concerns. With that in mind, how do the breasts change over time among individuals who have breast implants? Many women get breast implants in their early 20s. In the ensuing years and decades that follow, factors such as the natural aging process, weight gain, pregnancies, menopausal changes, and others can cause changes to the implants. These may include an altered or “dropped” position. Dr. Boynton says all breast implants will need to be exchanged for newer implant models at some point, and after those kinds of changes have occurred it may be a good time to refresh the look of the breasts and the breast implants. These types of procedures are very popular at our practice and can ultimately provide effective breast rejuvenation for patients who have had their implants for quite some time.

If you are considering your options, please don’t hesitate to contact Boynton Plastic Surgery today. Our team will be happy to answer any questions you may have, or assist you with scheduling a consultation with Dr. Boynton.