15 years post breast augmentation. What would help to provide a tighter chest wall and side boob? (photos)

Your implants may need to be replaced based on physical examination and high resolution ultrasound. In addition, you will need a revision breast lift. Your lateral chest wall will need a skin excision leaving you with an extension of the inframammary scar out to the side of your chest. If you choose, you could be a good candidate for an arm lift as well.

As it seems you are very aware of, the lateral skin under your armpit is not exactly your breast tissue but is more your lateral chest tissue. These are aesthetically different structures as well as functionally different structures. Some excess skin in the lateral chest wall and in the arm are required for proper movement of skin around the body during normal day-to-day activities. When we as plastic surgeons perform procedures on this lateral chest skin and arms , we must be careful to explain to our patients that scars in these areas often widen due to the amount of movement in these areas. It is likely that a skilled plastic surgeon could perform An arm lifting procedure that includes an incision on your chest which may help improve his contour. Most of these incisions heal relatively well however the scars can be widened and this is important to note.

I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. At the same time, you can undergo extension of the breast incision into the axilla and down the arm to perform an axillary arm lift.

Best Wishes,

Gary Horndeski, M.D.