Sophia Umansky, the daughter of Real Housewives star Kyle Richards and real estate mogul Mauricio Umansky, has candidly discussed her recent breast lift surgery on social media. The 26-year-old influencer shared her experiences and the motivations behind the procedure, marking a significant step in her personal transformation journey.
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In a TikTok video released earlier this week, Umansky explained that her decision for a breast lift stemmed from weight fluctuations associated with her use of Mounjaro, a medication primarily prescribed for individuals with Type 2 diabetes. The influencer noted that her weight loss and subsequent gain had taken a toll on her body, particularly her breasts, which she described as “hanging real low.”

“I initially lost a substantial amount of weight quite rapidly, but then put on some of that weight again,” she shared with her followers. “I feel like I’m finally settling into a balance, but my breasts are not where I would like them to be.”

The surgical procedure, performed by Dr. Steven Teitelbaum — the same surgeon who undertook Richards’ breast reduction in 2022 — was focused solely on lifting the breasts rather than adding implants. During the discussion of surgery, there was consideration of performing a fat transfer from Umansky’s hips to enhance the volume at the top of her breasts. “I know that going through with this will boost my confidence immensely, which is my ultimate goal,” she stated.
Umansky has been actively documenting her experiences on social media, showcasing both her preparations leading up to surgery and her recovery after the operation. However, her journey has not been without criticism. Following a video where she showcased her transformation, one commentator labelled her decision as “insane and sad.” Umansky’s response was firm, expressing her happiness with her choices. “I’m so happy though…” she said.
The influencer also addressed the criticisms surrounding her use of Mounjaro. In an interview with PEOPLE, she emphasised the importance of honesty about her situation. “When you’re open about things, others can’t judge or criticise you as harshly,” Umansky commented. “I openly discuss my use of Mounjaro, and I consult with a doctor regularly.”
She countered the judgement she has received regarding her medication. “People making assumptions about whether I need this medication are often misinformed,” she explained. “They are not doctors, and their opinions don’t hold weight. Everyone should focus on their own lives instead.” This assertive stance highlights a growing trend among influencers to challenge societal norms and expectations about beauty and health.
Umansky also acknowledged her mother’s support throughout her decisions. “My mum has always been very supportive of the choices my sisters and I make,” she said, referring to her siblings Farrah, Alexia, and Portia. “At the end of the day, I’m an adult. I can make my own decisions.”
Despite her mother’s initial concerns regarding the medication, Umansky conveyed that Richards ultimately respected her decision once she consulted with medical professionals. “She was initially cautious about me taking Mounjaro, but when I presented my case to her and consulted with doctors, she stood firmly behind my choice,” Umansky revealed.
As her journey progresses, Sophia Umansky is seen by many as a figure of empowerment, unafraid to share the complexities of her life and the decisions she makes for her confidence and well-being. Through her honesty about her health and beauty choices, she hopes to inspire others to embrace their own transformations and decisions, irrespective of public scrutiny.
Her journey serves as a reminder of the personal and often challenging nature of self-care and self-improvement in the public eye. As she continues to open up about her experiences, Umansky encourages a conversation about body image and the choices individuals make to feel confident and comfortable in their own skin.
