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8 Years With Implants, And They're Great. But, What Can I Do About Loose Skin?

asked 7 months ago by Frustrated in Tampa in Tampa, FL
Latest answer by Tom J. Pousti, MD
Question viewed 200 times
Tags: 8 years post-op, loose skin, options

I had implants put in 8 years ago (saline teardrop) and now when laying in a bikini they go to the side and there's alot of loose skin so you can see stretch marks (I have to try and stay sitting up). I was and am happy with the implants but would like to get rid of the loose skin. Is this possible without getting bigger implants to fill out the skin with a lift maybe? I know this is occurred over time, gaining and losing weight I'm sure. Please I would appreciate any advice. Thank you.

13 answers to 8 Years With Implants, And They're Great. But, What Can I Do About Loose Skin?

+1

Breast revision?

Thank you for the question. It would behoove you to be seen by what experience for certified plastic surgeons for direct examination. Based on your description however I think you may benefit from correction of the implant pocket (you may be experiencing lateral implant displacement), exchange to silicone gel implants and possible breast lifting surgery (depending on your physical examination). I hope this helps.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Loose skin years after augmentation.

There are in fact two issues which could be affecting what your seeing. Given that you are happy with the breast shape when you are sitting up tells me that the issue maybe more related to the pocket inside the breast than with the skin/breast tissue itself. Over time, it is common for the implant pocket to stretch out underneath the arms which can lead to the implants sliding to the side when you lay down. Because of this, the breast appears to "deflate" in the middle. Correction... more
David Bogue, MD

Boca Raton Plastic Surgeon
+1

Loose skin after a breast augmentation.

This is a very common problem seem by plastic surgeons. Aging, increased size of breasts (with the implants), body weight gain and loss causes the breast skin to stretch. While you are correct in your assumption that larger implants will correct this problem, it will do so only temporarily. Larger implant cause the skin to stretch even faster over time causing the same problem you now are facing. If you are happy with the current size and consistency of your breasts then... more
Donald M. Brown, MD

San Francisco Plastic Surgeon
+1

If you have loose skin following a Beast Augmentation, than a breast lift

Is an excellent way to address the problem without using larger implants. On a separate note, the fact that the implants fall to the side indicates that the pocket the implants are in is too large and lax, and the lateral boarder of your breasts need to be reinforced. You can try a suture repair, but with the same size implants there is a good chance the problem could recur, so I would discuss placement of an allograft along the desired lateral boarder of the breast (internally)... more
Michael H. Rosenberg, MD

White Plains Plastic Surgeon
+1

8 Years With Implants, And They're Great. But, What Can I Do About Loose Skin?

Photo only demonstrates rippling of the implant not "loose skin". Best to see a boarded PSS in person.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Correcting Breast Augmentation Results

You appear to have Saline implants under the breast / over the muscle which are increasingly visible along their periphery, slide more to the side than you would like them to and are bothered by some breast sagging. In my opinion, I would replace these implants with smooth, round silicone gel implants (which are lighter and ripple less than saline) and place them in a new conservative pocket under the muscle. This will do away with the visibility of the implants along the inner margins... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Loose breast skin after breast augmentation with tear drop implants

There are several options which can also be combined: implant exchange with better shaped silicone implants fat grafting into the breast for filler a lift to tighten the skin
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+1

Implants and loose skin

You appear to have several problems that can be addressed individually or collectively for improvement. 1. Your teardrop implants move excessicely to the side when laying down.---> You can change your implants to a similar volume, but to a wider implant which will fill the entire space and/or also tighten the lateral internal extent of the implant pocket. 2. You have loose skin with stretch marks.---> See #1 above and/or consider a breast lift to thighten your skin. Make sure you... more
Ricardo Izquierdo, MD

Chicago Plastic Surgeon
+1

Loose skin 8 years after BA

Your loose skin should be fixed with a breast lift procedure. I would suggest switching to silicone gel implants as they have less chance of rippling which you may also have a bit of.
Ronald Schuster, MD

Baltimore Plastic Surgeon
+1

Devolving breast augmentation result

As you are very fit and thin, you will see all irregularities in a saline implant. Dr. Johnson's suggestions I would support and mimic, namely considering a moderate profile gel implant exchange with perhape wider implants to close the gap in the middle and a pocket repair on the side to help keep them up in front better. Good luck!
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Loose skin after breast augmentation

There could be several factors in the ripple and loose skin. One potential for improvement is a low to moderate profile silicone gel implant which will 'show through' less. Next, consider the implant pocket if the implant does indeed slide off to the side and does not stay centered withing the breast. Repair of the pocket could get you on your back again. Finally a loose skin envelope can lift and snug the breast around the implant if you can accept the scar. Best of... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Loose skin after breast implants

This is not an uncommon scenario after having breast implants in place for a few years and then having weight loss. The stretch marks that you are experiencing are a sign of loss of skin strength and reduced elasticity. The best solution for you would be to have a breast lift. I would advise against bigger implants as the increased weight will only cause your skin to stretch out sooner. A breast lift will not get rid of your stretch marks but will likely cause them to... more
Jeffrey E. Kyllo, MD

Seattle Plastic Surgeon
+1

Improvement of Loose Breast Skin after Augmentation

Hi there- It sounds like you are already aware of part of your problem- that of skin quantity (that is, it sounds like you may have too much skin for the amount of breast tissue and implant you have). The other problem you may not be aware of or appreciate, is that the is clearly a skin QUALITY problem- in other words, the stretch marks you see are a sign that the skin in the area has lost a lot of its elasticity, and therefore will not (under any circumstances) behave or look like... more
Armando Soto, MD

Orlando Plastic Surgeon

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