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Will I Need a Second Breast Lift (Nipples Still Low, Implants Might Be Too Big)?

asked 1 year ago by cheekysmiles in Florida
Latest answer by Tom J. Pousti, MD
Question viewed 7,285 times
Tags: nipples, B cup, low breasts, revision

I asked my doctor for "perkier" breasts but feel like they are still riding low on my body (4 months post-op). I also requested to be a C cup but I am now a 32DD! (Previously had been a 32/34 B cup). I had a Periareolar lift on my left breast and Implant only on right breast. My main reason for getting a lift, which I explained to my doctor, was to look good in a t-shirt without a bra (however my nipples are still too low to do this). In addition, will a second lift cause a lot more scarring?

14 answers to Will I Need a Second Breast Lift (Nipples Still Low, Implants Might Be Too Big)?

What you are looking for may not be possible with implants or mastopexy

There are several problems here. Some are likely due to miscommunication with your surgeon and some are unrealistic expectations on your part. It is never a good idea to ask your surgeon to be a specific cup size. He will rarely be able to deliver. Cup sizes are not standardized and vary from bra company to bra company. I have my patients try on the implants before surgery so they can tell me what size looks good to their eyes. This is the best way to... more

Parham Ganchi, MD
Wayne Plastic Surgeon

Breast Lifting Results?

Thank you for the question in pictures. I agree with you that your nipple/areola are too low and that additional breast lifting is indicated. Additional breast lifting will require more incisions ( vertical) and more scarring. This is the classic trade-off that should be considered by all patients undergoing breast lifting surgery. In regards to achieving your breast size goals communication with your plastic surgeon will be key to achieving the results you are looking... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Still not perky?

18 year olds are perky, your breasts are not riding low. your torso is long, the implants are where they need to be. you could go smaller and increase the lift by adding a vertical incision below the areola (lollipop). this would also improve your shape (cone vs. flat). my plan, smaller implants with lollipop lift. good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Second lift

I would recommend a "vertical" lift for you in order to bring the areola to the center of the breast mound. If desired, a smaller implant can be exchanged at that time.

Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon

Breast implants breast aug revision, breast aug, breast lift, mastopexy, Dr. Whitfield, whitfieldplasticsurgery

I do not think your interval result is bad. You had low set breast and you still do. Getting breast isuue to stay up and add volume is difficult and will not last despite what any surgeons tries to tell you.

Robert Whitfield, MD
Milwaukee Plastic Surgeon

Redo lift

It may be as simple as lifting the left areola a bit more. Not a big deal to do can even be done under local.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift and implants

In order to achieve a perky moderate sized breast in your condition, a more agressive lift will be required and this will involve significantly more scarring. The original condition is more likely related to your long torso, low set breast crease and prolonged nipple to fold distance. The overall position of your breast on your chest is difficult if not impossible to truly change. However, the position of the nipple on the breast can be rotated with relatively small scar if this is your... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Significant Breast Lifting CANNOT be done with a combination of Large Breast Implants and an Aroung the Areola Lift

I am sorry for your predicament. Unfortunately it is all too common and the blame for it rests on both the patient and the surgeon. Patients demand to have large perky breasts with upper pole fullness WITHOUT scars and some Plastic surgeons try and comply depite knowing that a real breast lift cannot be accomplished and last by the flawed but seductive combination of a large breast implant and a periareolar (around the areola) Lift. Your BEFORE picture demonstrate BOTH significant... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

You will need full lift with smaller implants

I am sorry that your surgery did not give you the result that you were looking for. You will need to have smaller implants( you want to be C) and also vertical lift. I see the dissatisfaction with the periareolar lift very often. Patients always request the lift with the minimal scar and usually the result of the periareolar lift are not acceptable. The other option that I offer patients that want lift with minimal volume increase is the combination of the mastopexy and fat... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast lift vs large implants

To achieve what you wish you need a full lift. This might entail a small incision under the breast in the crease, but should be doable with just a periareolar and vertical scar. You then have the choice of keeping the same implants (the least expensive option) or exchanging them for smaller ones. The latter will entail more skin removal and intraoperative readjustment of the nipple position, but most good Plastic Surgeons should be able to accomplish this. (Thanks for the excellent... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breast lift vs large implants

Many doctors try to get around a lift by using a larger than ideal implant to gather up the lax skin and avoid the scars from a lift. Very often this is unexpected by the patient and the result is too large for their comfort and looks matronly. You are in that group. Your choices at this point are to leave them alone, or have bilateral full lifts with the current implants, or to downsoze the implants and have a full lift. A repeat periareolar lift... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift for perkier breasts

Cheekysmiles, it seems like your surgeon has used large implants in an attempt to avoid the need for a breast lift. I am not sure why he chose that route, it may have been in an attempt to avoid scars of a more extensive lift. However, now you do need a more extensive lift. This would involve adding a vertical scar from your areola to the breast fold under your breast. Although it has more scarring than just doing a periareolar lift, it is much more effective in... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Second Breast Lift

Sorryu for your issues but I recommend a l-shaped lift of anchor lift in your case. Another peri areolar or donut lift will not solve the "droop". Best regards

Darryl J. Blinski, MD
Miami Plastic Surgeon

Secondary mastopexy

Periareolar mastopexy, such as what was performed on your left breast, does not usually allow the amount of lift and removal of excess skin that you would require. Revision mastopexy with an additional vertical scar and replacement with a smaller implant would most likely achieve the result you seek - a perkier, "C" cup size breast.