Do I Need Another Breast Lift?

I had a mastopexy with breast implants 6 months ago. Since they have settled it seems like a little more skin needs to be removed. The upper pole skin is loosened and some stretch marks that I had have now reappeared although not quite as before. I have a moderate profile implant and wonder should if I do a secondary mastopexy should I use a moderate plus profile to obtain more projection and ensure greater upper pole satisfaction as well as stave off another future mastopexy.

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8 Doctor Answers | Asked by Kate51558 in Philadelphia

Doctor Answers (8)
Community Comments (0)

Not unusual to reoperative to provide further tightening after breast lift

Yes, the moderate-plus profile gives a little more projection. But the main issue is probably the tightness of your mastopexy. I wonder what type you had because some (the periareolar technique) do not adequately tighten the lower poles where the excess skin is located. Even the best techniques (vertical) can show some signs of loosening with time. I have revised my own vertical breast lifts on many occasions to provide more tightening. The good news is that... more

Breast Augmentation/Breast Lifting Revision Needed?

Even though you are 6 months of surgery, and may be in your best interest to wait even longer before putting yourself through more surgery. Assuming you are working with a well experienced board-certified plastic surgeon he/she will be in the best position to guide you based on your physical examination at that time and after a thorough discussion of your goals. In my practice, I prefer the use of "goal pictures” for this communication. Depending on your goals,... more

Improvement in Breast Shape after Surgery

Hi there- I would first echo my colleagues- it would be very difficult to answer your questions without a formal exam... In general, however, it is sometimes the case that women who have stretch marks on their breasts (which, of course indicate that the skin is of poor quality and has little remaining elasticity) end up less than completely pleased with the results of breast surgery, even if the immediate results were quite pleasing to them. In these cases, this deterioration in t more

Redo mastopexy

A mastopexy is performed to remove excess skin, lift the nipple and areola and remodel the gland. If there is not alot of breast tissue, then an implant may be necessary. As for a redo, it would be difficult to tell without examining you. Stretch marks will not go away with a lift unless they are within the pattern of skin excision.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Mastopexy re-do? When it may help.

Mastopexy is done to excise excessive skin. In most individuals their skin excess worsens after pregnancy due to the enlargement & deflation following the hormone related engorgement which affects the elasticity of the skin. Some younger people have mastopexy to improve the appearance of the breast due to elongated breast or enlarged areolas. In these individuals the elasticity of the breast iskin s not necessarily impaired. The only way to determine if... more

Another breast lift or larger implants

Any kind of breast surgery using implants will typically initially result in the implants being a little high. As the recovery process continues the implants settle down into a better position. The tightness of the initial mastopexy result also softens. In most cases (and I can't speak to your case specifically) stretch marks are improved but do not go away. There really is no way to keep the very tight appearance of the early result as this is due to swelling that eventually resolves.... more

Another breast lift

No photos very hard to answer. First I recommend HIGH PROFILE implants. Second get another in person opinion. This should help you understand the issues better. From MIAMI DR. B

Breast lift and implants

This is the real issue with breast lifts and breast augmentation: the implants want to weigh your skin down while the lift is meant to bring them up. Everyone has some skin stretch, and it's impossible to predict exactly how much any given patient will have after surgery. I would suggest waiting until you are a year out from surgery, and then reassessing everything with your surgeon. The problem is that another lift may leave you back where you started, whether you... more