Why are my breast sagging after a Breast Lift with Implants?
Doctor Answers (9)
Breast implants bottoming out after breast lift and augmentation may need a revision
For more information on breast implant revision please read the following link:
Recurrent sagging after breast lift plus implants 6 months ago.
Either this was a poorly-designed lift (lower breast flaps too long), or a beautifully-designed lift with damaged skin whose innate loss of elasticity was not taken into account. Firm was probably never an option, even with implants (unless you and/or your surgeon planned on capsular contracture).
Bigger implants will further fill your presently still-loose skin, and revision of your entire lift by removing additional skin can further tighten your skin brassiere. But larger implants and even less skin to contain them does not necessarily = high and firm. More likely, it leads to recurrent droop and additional dissatisfaction, or maybe even wound breakdown and disaster.
Please understand that this is not a function of the "right" surgeon or a "better" surgical plan. You cannot rewrite the laws of physics (gravity acting on large masses) no matter how much you might want to. Sorry. Best wishes! Dr. Tholen
Implant issues: upward nipples
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If you observe a recurrence of sagginess,I caution against bigger implants.
Should your tissues not withhold the weight, increasing the implant size is not a good idea.
You may want to consider reposting your question with some photos, this would put myself or any other participating collegue here in a better position to respond.
Lift and implants
Breast Lift and Post Operative Concerns
Bottoming out, inverted nipples and relapse of sagging breasts after breast lift and significant weight loss
Breast lifts are better done AFTER you have finished losing weight. Let's assume your breast lift was done at the midpoint of your 50 lb weight loss. Even a 25 lb weight loss after a breast lift is sufficient to cause relapse of sagging breasts because while the breast volume and weight will decrease with continued weight loss, the breast skin envelope does not shrink. This in turn results in a bigger bag holding a smaller breast volume and sagging.
If you have wide stretchmarks on your breasts from when you were bigger, then your breast skin will have a tendency to not stay tight after a breast lift. Additional weight loss under these circumstances frequently leads to relapse of sagging, high riding inverted upward deflecting nipples and a heavy bottom portion of the breast (bottoming out)..
I don't think you should consider going bigger. Revising the lift via additional skin tightening may improve upon the sagging, and consideration of a smaller implant may be beneficial. The use of acellular dermal matrix is expensive, labor intensive and can lead to additional surgical revisions.
Breast lift revision
Revision of an implant & lift sometimes requires internal support
When the breast skin brassiere is too stretchy, you may not be able to maintain that ideal "high and tight" & firm
DD, not because of anything that your PS did or didn't do but because the "carrying capacity" of your breast skin
cannot hold the weight of the implant. :( If you want a "hand in glove" fit, which sits higher on your chest, you may have to consider the use of acellular dermal matrix, like Strattice, to provide a "hammock" to support the
implant. The procedure is technically vigorous and expensive, so do discuss all aspects with your PS before
proceeding. Recently, a silk engineered product, Seri scaffolding has become FDA approved, so this may
provide a slightly less expensive option. Good luck.
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