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What makes breasts sag?

As a woman gets older, the ligaments that make up the breast tissue stretch and lose elasticity. As a result, breast fullness is compromised as the underlying support system of tissue and fat diminishes. A change may be particularly evident during menopause.

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6 causes of breast sagging

Breast sagging is one of the many natural body changes women experience as they age. The female breasts are made of fat and ligaments, but lack muscle tissue, so there is no amount or type of exercise that will strengthen the breasts. However, according to Barry Roseman, M.D., a Piedmont breast surgeon and surgical oncologist, if women are aware of the contributing factors, they can take preventive measures to avoid excessive sagging.

Causes of breast sagging

Here are some of the reasons Dr. Roseman says breasts sag:

Aging. As a woman gets older, the ligaments that make up the breast tissue stretch and lose elasticity. As a result, breast fullness is compromised as the underlying support system of tissue and fat diminishes. A change may be particularly evident during menopause. Gravitational pull. Years of gravitational pull takes its toll, especially on women with larger breasts. Lack of proper support. Wearing a supportive bra is important to maintaining breast shape and lift. “Lack of proper support will take its toll over a 30- to 40-year period. I highly recommend women get professionally fitted for a supportive bra at a lingerie or department store that offers this service,” Dr. Roseman says. Smoking. Carcinogens in cigarette smoke cause elastin to break down in the body. These elastin fibers are responsible for skin elasticity throughout the body. Sunburn. Ultraviolet rays damage the skin and cause loss of elasticity as well. Weight gain. Major fluctuations in weight can cause unnecessary stretching of the breasts. Maintaining a healthy weight will help women avoid the progression of unnecessary stretching.

Does breastfeeding cause breasts to sag?

“One preconceived notion is that breastfeeding causes breasts to sag, when in fact research has shown that it is simply the size changes that a woman's breasts undergo through pregnancy that cause sagging. For women who are concerned about this change, I recommend they lose the extra baby weight as quickly as possible after childbirth in an effort to go back to their ‘normal’ weight and size,” Dr. Roseman says. He also encourages women to look beyond the social pressures of body image and focus on maintaining overall body health. This will greatly impact breast health along the way too.

Learn more about breast health.

Need to make an appointment with a Piedmont physician? Save time, book online.

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You work out most days of the week and eat healthy meals as much as you can, yet the scale shows you’re gaining—not losing—weight, so what gives? Hormonal belly fat can be the hardest to lose. But before you beat yourself up over not doing enough crunches at the gym, consider this: As we get older, even a slight disruption in our hormone levels can cause stubborn belly fat to stick. In fact, research suggests that postmenopausal women on hormonal replacement therapy have lower levels of belly fat than those that aren’t. Before you rush to your doctor to get a prescription for your hormonal belly, there are natural ways to readjust your levels. Reducing sugar intake, eliminating processed foods from your diet, and avoiding things like dairy, alcohol, and caffeine can all help reset your blood sugar and insulin levels. So, how do you know if those love handles are a few extra pounds from bingeing on pizza and wine, or a larger issue? Here are five signs your hormones may be to blame.

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