It is easy for women to think that their breast size is predestined. Unlike most body parts, however, boobs grow and change throughout your life. That is because breast size is determined by a variety of factors, both biological and environmental. 

Here are seven of the biggest factors that influence breast size:

1. Genetics

Just like genetics dictate the color of your hair and your height, it plays a role in breast size as well. Women are typically born with their breast size, but that doesn’t mean it won’t change throughout their lifetime. Genes do not predetermine what your size will be, but rather indicate likelihood. Women that come from a family with a history of A-cups, for example, tend to have boobs of a similar size.

2. Weight Gain and Loss

Another big influence on the size of your breasts is weight fluctuation. Breasts are made up of a certain amount of both connective and fatty tissues that vary from woman to woman. Women with a higher concentration of fatty tissue will see more of a difference in breast size as their weight changes. Small fluctuations do not usually affect your boobs, but significant weight gain or loss can have a noticeable impact on their size. 

3. Diet and Exercise

Your weight is directly affected by your diet and exercise habits, which can influence your breast size. Exercise will not increase the size of your breasts, but strengthening your pectoral muscles can cause your boobs to push out and appear perkier.  

4. Birth Control

Along with preventing unintended pregnancy, certain methods of birth control can also impact your breast size. Hormonal birth control such as the pill, an intrauterine device (IUD), and the depo shot contain estrogen and progesterone. These hormones can cause water retention in your body, leading to a temporary increase in breast size. This is most noticeable right after you start birth control. 

5. Menstrual Cycle

Your menstrual cycle causes your body to change in a lot of ways, which can impact the size, texture, and shape of your breasts. As you get closer to your period, your body starts producing more progesterone to stimulate the formation of milk glands. Much like with hormonal birth control, this hormone causes swelling and soreness in the breasts, making them appear larger. After your period is over, they will return to their normal size and texture.

6. Age

Your breasts likely do not look the same now as they did when you were a teenager. As you grow and mature, so do your boobs, especially later in life. Women approaching menopause go through hormonal changes that affect the size and shape of their breasts. As your body produces less estrogen, your breasts become less perky due to a loss of elasticity in the connective tissue. 

7. Pregnancy and Breastfeeding

A woman’s breasts can grow several cup sizes throughout her pregnancy. This is because the production of hormones like progesterone increases to help the body produce more milk ducts. By the second trimester, most women’s breasts are fully capable of producing milk. They will continue to swell postpartum if the woman chooses to breastfeed. Typically, it takes about six months for breasts to go back to their normal size after stopping nursing.

Breast Enhancement and Reduction in Tucson

At Hess and Sandeen, we offer a variety of breast procedures, including augmentation and reduction. Our experienced surgeons are extremely knowledgeable and can deliver you beautiful, natural-looking results.

To learn more about the breast procedures we have to offer, contact Hess & Sandeen today.

An abdominoplasty, or a tummy tuck, is a cosmetic procedure that removes excess fat and skin from the abdominal area. It reshapes the area by flattening and tightening the muscles and is often performed after significant weight loss or pregnancy. While patients are encouraged to postpone the surgery until after childbearing, it is still possible to get pregnant after a tummy tuck.

Here are some of the most frequently asked questions about pregnancy after a tummy tuck:

Is a Pregnancy After a Tummy Tuck Safe?

Even though it is recommended that women wait until after they are finished having children to schedule a tummy tuck, it is still safe to get pregnant after the procedure. There are not any pregnancy risks for both mother and baby after the procedure. Some women might experience a tighter midsection, however, especially during the third trimester. 

Will a Tummy Tuck Affect My Pregnancy?

Having a tummy tuck does not affect a woman’s ability to conceive a child. The concern of pregnancy after abdominoplasty is a cosmetic one, not one of safety or function. Some mothers may notice that their bellies do not stretch out as much as they did in previous pregnancies, but this is harmless to a growing child. The wall of a woman’s abdomen is designed to naturally stretch to accommodate a baby and a tummy tuck will not hinder that. 

How Long Should I Wait To Schedule A Tummy Tuck Revision After Pregnancy?

Most surgeons recommend women wait at least a year after giving birth to schedule a tummy tuck surgery, especially those who deliver through a C-section. Pregnancy is tough on the body and it is crucial to make sure it is completely healed before undergoing another major surgery.

What If I Need a C-Section?

A tummy tuck does not disqualify you from having a Cesarean delivery, or C-section. A C-section after having a tummy tuck is not much different from a repeat C-section, which many women have. Doctors will try to make the incision along the abdominoplasty scar, which is placed on the lower abdomen so it is easily hidden by clothing. It is important to inform your gynecologist that you have had a tummy tuck in the past, as the scar is not always obvious. 

How Will Pregnancy Affect My Tummy Tuck?

Each woman’s body responds differently to pregnancy. Due to the weight fluctuation and abdominal stretching that occurs, it is possible that some patients may be left with sagging or loose skin after having a child. These patients might require a touch-up, revision, or mini tummy tuck procedure after they give birth, but this is not always the case. 

Many women maintain their results even after a full pregnancy, especially those who avoid unnecessary weight gain by maintaining a healthy lifestyle. Some even notice that their body looks better post-pregnancy after their tummy tuck than it did during prior pregnancies. 

Getting Started With a Tummy Tuck

At Hess & Sandeen, we want to help you look and feel like the best version of yourself after pregnancy. A tummy tuck is part of our mommy makeover procedure, which helps rejuvenate the areas of a woman’s body that are most impacted by motherhood. For the best results, our experienced plastic surgeons recommend waiting until you are done having children to schedule a tummy tuck.

For more information about abdominoplasty, contact us for a free consultation.

If you have concerns about whether you can still breastfeed after getting breast implants, the answer is yes. There is no evidence showing that the presence of silicone in the body is harmful to a breastfeeding baby. However, the success of breastfeeding depends upon a few factors, and each case is different. 

A few of those factors are:

Type of Incision

Breast implants can be inserted through different locations on the chest. It is most commonly done through the inframammary fold, or the breast crease, but can also include the armpit or the areola. Making the incision in the inframammary fold or armpit keeps the tissue and nerves intact.


Incisions around the areola are the most likely to cause nerve damage, which in turn can cause changes to the milk supply. If you can still feel sensation in your nipples after surgery, your nerves are likely undamaged.

Reason for Surgery

The condition of the breasts pre-surgery can have an effect on breastfeeding. If the procedure was just to give your already symmetrical breasts a lift for cosmetic reasons, the likelihood of breastfeeding complications is slim.

On the other hand, some breast implants are done for medical reasons, such as reconstruction after recovering from breast cancer. Mastectomies can remove breast tissue and possibly damage nerves essential to lactation. In these cases, the patient might be at risk of a reduced milk supply.


Breast implants can be placed either between the breast tissue and the chest wall or beneath the layer of muscle. Depending on the placement, it is possible that the implant can impact milk production. 

Milk Supply

While breast implants won’t stop you from breastfeeding, they may reduce the amount of breast milk some women produce. This can occur if a nerve in the nipple or breast was severed during the incision, such as around the areola. 

Implants placed directly against the tissue are also a factor. The pressure can crowd the milk ducts or mimic the feeling of engorgement. This interferes with the signals that tell the body to either start or stop producing milk, leading to reduced flow.

Tips for Breastfeeding with Implants

Breastfeeding can be difficult for new mothers, breast implants or not. 


There are ways you can help your body promote milk production, though, including: 

Reach out to a lactation consultant.

Properly latching can help your baby benefit more from feedings. If they have trouble latching, consider a lactation consultant. A consultant can give you feedback on how to improve the experience for both you and your baby.

Be cautious of infections. 

One side effect of breast augmentation is more intense engorgement, which can increase the likelihood of contracting mastitis. Mastitis is an infection in the breast tissue that causes the area to become swollen and red from inflammation. 

Feeling Your Best After Pregnancy

Hess & Sandeen can help you love your body after pregnancy. Breast implants are part of our mommy makeover procedure, which is a combination of plastic surgeries that address the areas of the body affected by pregnancy. We do typically recommend waiting until you are done having children to undergo this procedure since additional pregnancies can undo the results.

To schedule your appointment for breast implants or a mommy makeover, contact us today.

Liposuction is a procedure that removes fat cells from a specific area of the body. It is among the most common cosmetic operations in the United States. Many patients wonder whether the results of this procedure are permanent. The short answer is that liposuction does remove fat cells permanently, but the full answer is more complex. 

More information about liposuction and its longevity

Liposuction Basics

Liposuction is most frequently done in areas of the body with a high number of fat cells. Factors such as age, gender, and genetics can affect which areas collect the most fat. Some common areas include, but are not limited to:

  • Upper body: Neck, chin, upper arms, chest, abdomen
  • Lower body: Calves, thighs, ankles, hips, buttocks

Liposuction can be done on its own or in combination with other procedures like a tummy tuck or breast reduction. It is generally a cosmetic surgery, but it can also be used to treat a number of chronic medical conditions, including:

  • Gynecomastia: This condition occurs in men, causing their breast tissue to become enlarged. After initial treatment, liposuction can be used to remove excess breast fat.
  • Lymphedema: This occurs when lymph nodes are blocked, causing the limbs to swell. Liposuction can help reduce pain and improve drainage.
  • Lipomas: These are benign tumors made of fatty tissue most commonly found on the upper body. Liposuction is one option for lipoma removal. 
  • Axillary hyperhidrosis: This is a condition in which a person experiences excessive sweating. Liposuction is performed over the incision after surgery is done.

How Liposuction Works

Liposuction is performed with a hollow tube called a cannula that is inserted through a small incision in the skin. The tube breaks through the fat layer, splitting up the cells beneath it with slight back and forth movements. The cells are then removed from the body with a suction device called an aspirator.

The procedure is not particularly painful because patients are given anesthesia prior to operation. Some may experience discomfort in the form of swelling and bruising for a few weeks afterward. Patients will begin to see results once the swelling subsides in the treatment area.

What Happens If You Gain Weight After Liposuction

Liposuction is the permanent removal of fat cells from the body. The cells will not regenerate in the same area the surgery was performed. However, fat cells still have the potential to expand depending on the lifestyle the patient maintains after the operation. 

If a significant amount of weight is gained after receiving liposuction, the body will redistribute this weight. This causes the fat cells to collect in other areas of the body. The treated area will still be noticeably improved, but it might be diminished by the new areas where fat has accumulated. 

Typically, weight gain is not a problem because patients are so pleased with their liposuction results. However, weight redistribution can be further avoided by maintaining what you weighed before the operation. This can be achieved through a healthy lifestyle, including a well-balanced diet, regular exercise, and drinking plenty of water. 

Your Go-To For Liposuction in Tucson

While each body is naturally beautiful, sometimes you need a little help loving the person you see in the mirror. At Hess and Sandeen, we can assist you in achieving that desired confidence. In addition to liposuction, we offer a variety of cosmetic procedures that will leave you feeling new and improved.

If you are interested in learning more about liposuction, contact us today for a consultation.

Before choosing a plastic surgeon, you should look at before and after photos from surgeries they have performed. This gives you an idea of how their results typically look. You can typically find some of these photos online, such as those on our site, but should also ask during your consultation, as there may be more photos available.

Here are some things to consider when evaluating plastic surgery before and after photos:

1. Find Before Photos That Are Similar to You

At first, it seems like it would make more sense to find after photos that match the results you want. While this can still be helpful, you’ll likely get a better idea of the surgeon’s skills and how good of a match they’ll be for you based on finding before photos that are similar to you.

How to go about this will depend on the type of procedure you are interested in. For example, if you are considering a breast reduction, look for a patient with a similar initial breast size. For a facelift, look for a patient with a similar amount of sagging and/or wrinkles in similar areas. Regardless of the procedure, looking for patients within your age range is also beneficial. You can also ask your surgeon for examples they think are similar to what you are looking for.

2. Look for Symmetry

No one’s face or body is perfectly symmetrical. However, symmetry is generally more aesthetically pleasing, and plastic surgeons should either increase symmetry, as may be the case for facial surgeries like a facelift, preserve existing symmetry in a way that looks natural. Issues with symmetry are especially apparent in breast-related procedures and blepharoplasty (eyelid surgery). Any results that look unbalanced or “off” are a red flag.

3. Consider Scarring

Some amount of scarring is inevitable after any surgery. That being said, examining the visible scars in plastic surgery before and after photos can still give you valuable information to help you choose a surgeon.

You’ll need to be mindful of the general expectations for the procedure you are interested in. There’s a big difference between the degree of scarring between eyelid surgery and a tummy tuck, for example.

For surgeries where scarring is more visible, examine how the surgeon has placed the scars and how this compares to other surgeons you are considering. Looking at multiple examples of the procedure will help you get a better idea of how results vary between surgeons and can aid you in making your decision.

4. Look Beyond Before and After Photos

While before and after photos are frequently one of the major factors in choosing a plastic surgeon, they are not the only thing you should consider. You should also think about the impression you get during your consultation, whether the surgeon is board certified/board eligible, their level of experience with the procedure you are interested in, and whether they operate in an accredited surgical facility.

Skilled Plastic Surgeons in Tucson

Dr. Hess, Dr. Sandeen, and Dr. Lee are experienced plastic surgeons and can help you achieve your ideal appearance.

To learn more about your options for plastic surgery, contact us today.