Why are my breast sagging after a Breast Lift with Implants?
Doctor Answers 11
Breast implants bottoming out after breast lift and augmentation may need a revision
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Why are my breast sagging after a Breast Lift with Implants
Breast Lift with Implants
Sorry you are dropping a little. Because your skin is stretchy, you may need to remove some more. Be sure to get down to your fight weight if you have more skin removed. The larger the implant, the more weight is in your breast, and gravity will pull things down more. So I like your size of 305. Check back with your surgeon, and describe what you have said above, give it some time, and if necessary, return for more skin removal. All the best, "Dr. Joe"
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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
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
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