Massive weight loss results in 3 consequences on female breasts: loss of volume specially in the upper pole, global skin laxity with bottoming out and loss of the round shape of the breast and mal position of the nipple and areola that becomes situated to low.
Any efficient treatment to breast after massive weight loss must take into consideration the restitution of volume (if there is a lack of it) through lipoasuction and fat injection or through inserting of an implant. If the skin laxity is excessive, then there is a need for a breast lifting.
Exercises strengthen mainly pectoral muscle resulting in a moderate improvement of the ptosis (bottoming out) It has no effect on volume restoration.
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