With the wide range of breast deformities developed after massive weight loss, it is crucial to wait until the patients reach stable BMI for a sufficient period before proceedings in any recontouring surgeries. Proper assessment of the breast deformity is the key to the successful treatment plan. There are many options of management of these deformities depends on the residual volume of the breast, the quality of the skin, the availability of nearby excess redundant tissues.Breast reduction, augmentation using either implant or autoaugmentation using excess nearby tissues, or mastopexy all are options can be used.