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3 Months Post BA and Anchor Lift: Will a Lollipop Lift Help Saggy Breasts?

asked 1 year ago by SaggyBoobies in Dayton, OH
Latest answer by Julio Garcia, MD
Question viewed 979 times
Tags: sagging, capsular contracture, lift, lollipop

I had a BA and anchor lift on 1/12/11. My rt breast developed a capsular contracture and my left breast is falling into my arm pit and is flat in the upper pole and the bottom is flat and pointy and ugly. My right breast has the CC but at least it has upper fullness. Both are still saggy. My PS agreed to do a lollipop lift for free in his office under a local. If I want the CC removed I have to pay $2400 for hosp/anesthesia fees only. Do you think a lift will help and is it ok to ignore CC?

15 answers to 3 Months Post BA and Anchor Lift: Will a Lollipop Lift Help Saggy Breasts?

Breast Revision Surgery

Hello and thank you for the question. In review of your photographs, I could not agree more with Dr. Verpaele and Dr. Tholen. You have a complex problem and one that requires the correct evaluation and management if you are to maximize your chances of having an acceptable result. First and foremost, the capsular contracture must be addressed if you hope to achieve optimal symmetry. I would recommend a complete capsulectomy with exchange of implant. Next, you will require a breast... more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

Still saggy after (NOT anchor) breast lift plus implants--what to do?

Just to be clear, from your scars and their position, it is evident that you had a vertical or lollipop lift where the scars extended past the inframammary crease, and the aesthetic appearance of the breast lift was compromised with the skin tightening in one dimension only. Your surgeon then decided to try to shorten the vertical scar with a perpendicular elliptical excision at what he thought the proper crease position would be (this is why the vertical scar still extends past the short... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Post op saggy breasts

I think that correcting just part of the problem will leave you uneven. I think it best to treat all of the issues at the same time in order to get the best shot at even breast.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Based on your photos I suspect the implants are submuscular...

Submuscular implants with mastopexy are challenges for recurrent double bubble and waterfall deformity as the breast descent is common while the submuscluar implant is trapped high by the muscle. Perhaps you should consider having this addressed by implant exxchange into submammary psoition with cohesive gel and a redo mastopexy. I am not in favor of simply a mastopexy in the office. Chen Lee, MD, MSc, FRCSC, FACS

Chen Lee, MD
Montreal Plastic Surgeon

Revision breast lift and augmentation in Ohio

I noticed that no surgeons from Ohio responded to your question. I'm located in Beachwood, Ohio, outside Cleveland. I agree with some of the other surgeons that a true inverted-T (upside-down-T, anchor) breast lift must at least be considered. You specifically asked if there was any harm watching the capsular contracture on the right. Since it appears mild (and, in fact, may represent an implant malposition, not a true contracture), it can be observed. Another alternative is a simple... more

Steven Goldman, MD
Cleveland Plastic Surgeon

www.drgoldman.com

Breast augment and capsular contracture

In reviewing your photos I would suggest having the capsular contracture corrected at the same time. I believe it will be difficult to make the breast augmentation look symmetrical without it.

Vincent D. Lepore, MD
San Jose Plastic Surgeon

www.vincentleporemd.com

Revision augmentation mastopexy.

Thank you for your photos. One of the more difficult procedures to perform is a breast lift with an augmentation. It has the highest reoperation rate of any cosmetic breast surgery. You seem to like the higher implant on the right (even though you have been told it is a capsular contracture). Keeping an implant up high for upper pole fullness is difficult because the inferior breast tissue (especially after a lift) often does not maintain support of the implant.... more

David Bogue, MD
Boca Raton Plastic Surgeon

Breast lifting, a flexible plan may serve you well.

It is a little early to revise your surgery, since it is only 3 months old. There may yet be some subtle changes. However it is clear that some type of lift would benefit you. Some capsule work should be done, along with a lollypop lift. But it's best to give your surgeon a go-ahead to do more incisions if you need that for a great result. Be flexible, and not limiting with your instructions to the surgeon. It's better to wake up with a slight... more

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

3 months post ba and anchor lift

BA and mastopexy has a secondary"touch up" rate between 25 and 40 percent. The right side may be due to implant position rather than capsular contracture.Either way i would wait a minimum of 6 months and have the correction procedure. You had the operation because your skin was stretched out and lost elasticity. That is why things changed afterwards , because your skin stretches more than either you or your surgeon wants it to. good luck more

Jonathan Saunders, MD
Newark Plastic Surgeon

Lollipop lift revision

Based on the photographs, I think your best solution is a formal wise pattern (anchor lift). The circumvertical mastopexy did not work in my opinion because it was not enough to correct the ptosis. The CC needs to be addressed with an implant and pocket change. Good luck. Bhupesh Vasisht, MD,FACS

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon

Need full revision AND CC correction

Dear Lady, I cannot agree more with Dr Tholen's analysis and proposed correction. Additionally, as I work in Europe I would replace the implant with a polyurethane-covered implant (which used to be available and very popular in the US as well, before 1992), because these have a proven protective effect against recurrent capsular contracture.

Alexis Verpaele, MD
Belgium Plastic Surgeon

Breast Implants and LIft - "Correction" of Previous Surgery

Hi SaggyBoobies in Dayton, OH, There are, of course, no "right" answers with this, and there are two separate issues: First, do you have to have the capsular contracture "taken care of." The answer is No. You don't HAVE to. The second, is whether a lollipop lift will help, and the answer is Yes. However, there are several issues that could, possibly, all be addressed during what could be called a "revisional procedire." A... more

Alan Engler, MD
New York Plastic Surgeon

Lift and augmentation

A lollipop lift may help improve the position of the areola and tighten the envelope. As for the capsular contracture, I would consider having that taken care of.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift and augmentation revision

It is quite clear from your photos that a revision of the breast lift will help bring the nipple up on the front of the breast and improve your result. The capsule contracture is earlier than expected, and perhaps the issue is with the breast implant pocket as well. We would favor the revision of the lift, and would open the implant pocket on the firm side. The capsule doesn't pose any risk, we just feel that your result would be better. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Lollipop lift after breast augmentation with anchor lift

I think your nipple position will improve with the lift. Ignoring the capsule contracture is risky because in the long run you will be dealing with assymetry issues which will be significant. All the best, Talmage J. Raine MD FACS